Stallion, Anthony
Stallion, Anthony is an individual health care provider with primary practice located at 100 Medical Park Dr Suite 310, Concord NC 28025-2966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Stallion, Anthony can be contacted via phone (704) 403-2662.Contact Information
Primary practice address
100 Medical Park Dr Suite 310
Concord NC 28025-2966
Phone: (704) 403-2662
Fax: (704) 403-2670
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 35060022S | Ohio |
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 2013-01542 | North Carolina |
Profile Details
NPI number | 1265499206 |
---|---|
LBN Legal business name | Stallion, Anthony |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2006 |
Last updated | Dec 6th, 2016 - about 9 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 | 1265499206 | NPPES |
Ohio | MEDICAID | 0803198 | |
Ohio | MEDICAID | 1265499206 | |
Ohio | MEDICAID | Q0154E |
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