Rockwell, Stuart Alan
Rockwell, Stuart Alan is an sole proprietor health care provider with primary practice located at 3101 Oak Grove Rd , Poplar Bluff MO 63901. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rockwell, Stuart Alan can be contacted via phone (573) 785-7071.Contact Information
Primary practice address
3101 Oak Grove Rd
Poplar Bluff MO 63901
Phone: (573) 785-7071
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | AR2729 | Arkansas |
Profile Details
| NPI number | 1063436681 |
|---|---|
| LBN Legal business name | Rockwell, Stuart Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 25th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063436681 | NPPES |
| Arkansas | MEDICAID | 113250608 | |
| Arkansas | MEDICAID | 402553309 |
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