Stafford, Michael Todd

Stafford, Michael Todd is an sole proprietor health care provider with primary practice located at 3560 Delaware St Suite 601-A, Beaumont TX 77706-3067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stafford, Michael Todd can be contacted via phone (800) 258-2016.

Contact Information

Primary practice address
3560 Delaware St Suite 601-A Beaumont TX 77706-3067
Phone: (800) 258-2016
Fax: (409) 924-9696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X F7193 Texas

Profile Details

NPI number 1285784298
LBN Legal business name Stafford, Michael Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Apr 28th, 2016 - about 8 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 1285784298 NPPES
Texas Other 0815925 CIGNA
Texas MEDICAID 1380487-06 CIGNA
Texas Other 81680B CIGNA
Texas Other 5994380 CIGNA

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