Stagnone, David N.M.I.

Stagnone, David N.M.I. is an individual health care provider with primary practice located at 3417 Ensign Rd Ne , Olympia WA 98506-5075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stagnone, David N.M.I. can be contacted via phone (360) 493-4609.

Contact Information

Primary practice address
3417 Ensign Rd Ne Olympia WA 98506-5075
Phone: (360) 493-4609
Fax: (360) 493-4603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00036036 Washington

Profile Details

NPI number 1639150725
LBN Legal business name Stagnone, David N.M.I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Dec 28th, 2010 - about 14 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 1639150725 NPPES
Washington Other G8802103 MEDICARE PTAN
Washington MEDICAID 8228942 MEDICARE PTAN

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