Stallkamp, Eric Todd

Stallkamp, Eric Todd is an individual health care provider with primary practice located at 582 N Cable Rd , Lima OH 45805-2133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stallkamp, Eric Todd can be contacted via phone (419) 996-2500.

Contact Information

Primary practice address
582 N Cable Rd Lima OH 45805-2133
Phone: (419) 996-2500
Fax: (419) 996-2509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 350731165 Ohio

Profile Details

NPI number 1710972047
LBN Legal business name Stallkamp, Eric Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Sep 10th, 2013 - about 11 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 1710972047 NPPES
Ohio Other 080142578 TRAVELERS/RAILROAD MEDICA
Ohio Other 1134112469 TRAVELERS/RAILROAD MEDICA
Ohio MEDICAID 2062075 TRAVELERS/RAILROAD MEDICA
Ohio Other 000000136496 TRAVELERS/RAILROAD MEDICA
Ohio Other 1669550182 TRAVELERS/RAILROAD MEDICA

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