Stallman, Paul T
Stallman, Paul T is an sole proprietor health care provider with primary practice located at 2 James Way Suite 203, Pismo Beach CA 93449-4973. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Stallman, Paul T can be contacted via phone (805) 481-3733.Contact Information
Primary practice address
2 James Way Suite 203
Pismo Beach CA 93449-4973
Phone: (805) 481-3733
Fax: (805) 489-7376
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G81743 | California |
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | G81743 | California |
Profile Details
NPI number | 1336120005 |
---|---|
LBN Legal business name | Stallman, Paul T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 9th, 2005 |
Last updated | Oct 18th, 2017 - about 8 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 | 1336120005 | NPPES |
California | Other | 00G817430 | BLUE SHIELD OF CALIFORNIA |
California | Other | G81743 | BLUE SHIELD OF CALIFORNIA |
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