Stafford, Charles Craig

Stafford, Charles Craig is an individual health care provider with primary practice located at 1401 Harrodsburg Rd Bldg A Ste 450, Lexington KY 40504-3751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Stafford, Charles Craig can be contacted via phone (859) 373-0215.

Contact Information

Primary practice address
1401 Harrodsburg Rd Bldg A Ste 450 Lexington KY 40504-3751
Phone: (859) 373-0215
Fax: (859) 373-0235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 24728 Kentucky

Profile Details

NPI number 1548282601
LBN Legal business name Stafford, Charles Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Feb 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548282601 NPPES
Kentucky MEDICAID 64247281
Kentucky MEDICAID 7100143740
Kentucky Other CB5773
Kentucky Other 110055370
Kentucky Other 4000501
Kentucky MEDICAID 7100144720
Kentucky Other 37903705

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