Self, Karl Stanley

Self, Karl Stanley is an individual health care provider with primary practice located at 306 S Greeno Rd Suite A, Fairhope AL 36532-1905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Self, Karl Stanley can be contacted via phone (251) 928-8760.

Contact Information

Primary practice address
306 S Greeno Rd Suite A Fairhope AL 36532-1905
Fax: (251) 928-7028
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6916 Alabama

Profile Details

NPI number 1427015247
LBN Legal business name Self, Karl Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 13th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427015247 NPPES
Alabama Other 510-83390 BLUE CROSS/BLUE SHIELD OF AL
Alabama MEDICAID 000083390 BLUE CROSS/BLUE SHIELD OF AL

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