Stabell, Erik Christian
Stabell, Erik Christian is an individual health care provider with primary practice located at 1 Professional Dr Suite 220, Alton IL 62002-5068. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Stabell, Erik Christian can be contacted via phone (618) 463-8610.Contact Information
Primary practice address
1 Professional Dr Suite 220
Alton IL 62002-5068
Phone: (618) 463-8610
Fax: (618) 463-8688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036-069182 | Illinois |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | R6N20 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-069182 | Illinois |
Profile Details
| NPI number | 1609868108 |
|---|---|
| LBN Legal business name | Stabell, Erik Christian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Mar 27th, 2024 - about 8 months 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 | 1609868108 | NPPES |
| Illinois | MEDICAID | 036069182 | |
| Illinois | MEDICAID | 207945908 | |
| Illinois | Other | 207219 |
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