Stainback, Patricia Adeleke

Stainback, Patricia Adeleke is an individual health care provider with primary practice located at 798 Church St N , Concord NC 28025-4368. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Stainback, Patricia Adeleke can be contacted via phone (704) 720-0692.

Contact Information

Primary practice address
798 Church St N Concord NC 28025-4368
Fax: (704) 720-0693
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6637 North Carolina

Profile Details

NPI number 1124248786
LBN Legal business name Stainback, Patricia Adeleke
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Mar 22nd, 2010 - about 15 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 1124248786 NPPES
North Carolina MEDICAID 899001V

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