Stafford, Douglas R
Stafford, Douglas R is an sole proprietor health care provider with primary practice located at 2109 N Main St , Coeur D Alene ID 83814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Stafford, Douglas R can be contacted via phone (208) 676-0104.Contact Information
Primary practice address
2109 N Main St
Coeur D Alene ID 83814
Phone: (208) 676-0104
Fax: (208) 765-1893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | M7604 | Idaho |
Profile Details
| NPI number | 1598767196 |
|---|---|
| LBN Legal business name | Stafford, Douglas R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jan 18th, 2017 - 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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