Stajduhar, Marty

Stajduhar, Marty is an individual health care provider with primary practice located at 2901 Martin Dr Ste B , Bedford TX 76021-3839. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stajduhar, Marty can be contacted via phone (817) 545-9793.

Contact Information

Primary practice address
2901 Martin Dr Ste B Bedford TX 76021-3839
Phone: (817) 545-9793
Fax: (817) 581-9221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1047785 Texas

Profile Details

NPI number 1619133840
LBN Legal business name Stajduhar, Marty
Credentials PHYSICAL THERAPY
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2008
Last updated Aug 7th, 2008 - about 16 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 1619133840 NPPES
Texas Other 83194T BCBS PROVIDER #

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