Stakem, Thomas E
Stakem, Thomas E is an sole proprietor health care provider with primary practice located at 7175-01 U.S. Highway 17 South , Green Cove Springs FL 32095. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Stakem, Thomas E can be contacted via phone (904) 529-8889.Contact Information
Primary practice address
7175-01 U.S. Highway 17 South
Green Cove Springs FL 32095
Phone: (904) 529-8889
Fax: (904) 529-8893
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN16222 | Florida |
Profile Details
NPI number | 1932259405 |
---|---|
LBN Legal business name | Stakem, Thomas E |
Credentials | D.D.S.,M.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 10th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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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