Stafford, John Wiley
Stafford, John Wiley is an individual health care provider with primary practice located at 207 Westmark Blvd , Lafayette LA 70506-7365. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Stafford, John Wiley can be contacted via phone (337) 981-6811.Contact Information
Primary practice address
207 Westmark Blvd
Lafayette LA 70506-7365
Phone: (337) 981-6811
Fax: (337) 981-2024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 013845 | Louisiana |
Profile Details
| NPI number | 1831292358 |
|---|---|
| LBN Legal business name | Stafford, John Wiley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831292358 | NPPES |
| Louisiana | MEDICAID | 1171000 |
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