Stallard, Donald Jullian

Stallard, Donald Jullian is an individual health care provider with primary practice located at 20333 W 151St St , Olathe KS 66061-5350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stallard, Donald Jullian can be contacted via phone (913) 791-4291.

Contact Information

Primary practice address
20333 W 151St St Olathe KS 66061-5350
Fax: (913) 791-4219
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R3L74 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-24614 Kansas

Profile Details

NPI number 1316942576
LBN Legal business name Stallard, Donald Jullian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jun 26th, 2019 - about 5 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 1316942576 NPPES
Missouri MEDICAID 206664229

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