Stafford, Myra M
Stafford, Myra M is an sole proprietor health care provider with primary practice located at 300 North Airport Road , Jasper AL 35504-3850. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Stafford, Myra M can be contacted via phone (205) 221-6700.Contact Information
Primary practice address
300 North Airport Road
Jasper AL 35504-3850
Phone: (205) 221-6700
Fax: (205) 221-9194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3788 | Alabama |
Profile Details
| NPI number | 1255352233 |
|---|---|
| LBN Legal business name | Stafford, Myra M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jul 9th, 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 | 1255352233 | NPPES |
| Alabama | Other | 51552873 | BLUE CROSS BLUE SHIELD |
| Alabama | Other | 139050 | BLUE CROSS BLUE SHIELD |
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