Stafstrom, Carl E
Stafstrom, Carl E is an individual health care provider with primary practice located at 200 N Wolfe St , Baltimore MD 21287-0011. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Stafstrom, Carl E can be contacted via phone (410) 955-4259.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 41489 | Wisconsin |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 41489 | Wisconsin |
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | D77086 | Maryland |
Profile Details
NPI number | 1912979196 |
---|---|
LBN Legal business name | Stafstrom, Carl E |
Credentials | MD PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2006 |
Last updated | Nov 7th, 2014 - about 11 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 | 1912979196 | NPPES |
Maryland | MEDICAID | 073165000 |
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