Stahly, Randall L
Stahly, Randall L is an individual health care provider with primary practice located at 3004 Gordonville Rd , Cape Girardeau MO 63703-5008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Stahly, Randall L can be contacted via phone (573) 332-1972.Contact Information
Primary practice address
3004 Gordonville Rd
Cape Girardeau MO 63703-5008
Phone: (573) 332-1972
Fax: (573) 334-4667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | R6455 | Missouri |
Profile Details
| NPI number | 1649320532 |
|---|---|
| LBN Legal business name | Stahly, Randall L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Feb 26th, 2021 - about 3 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 | 1649320532 | NPPES |
| Missouri | MEDICAID | 240926832 |
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