Stafford, Erick

Stafford, Erick is an individual health care provider with primary practice located at 30 Sandstone Cir , Jackson TN 38305-2073. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Stafford, Erick can be contacted via phone (731) 240-1695.

Contact Information

Primary practice address
30 Sandstone Cir Jackson TN 38305-2073
Phone: (731) 240-1695
Fax: (731) 240-1694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1191813 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1191813 Tennessee

Profile Details

NPI number 1053067405
LBN Legal business name Stafford, Erick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2022
Last updated Mar 3rd, 2022 - about 2 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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