Stalter, Marvin D

Stalter, Marvin D is an individual health care provider with primary practice located at 12306 County Road E 35 , Bryan OH 43506-2409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Stalter, Marvin D can be contacted via phone (419) 630-0491.

Contact Information

Primary practice address
12306 County Road E 35 Bryan OH 43506-2409
Phone: (419) 630-0491
Fax: (419) 630-0491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-076325 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35-076325 Ohio

Profile Details

NPI number 1700817194
LBN Legal business name Stalter, Marvin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Oct 7th, 2011 - about 13 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 1700817194 NPPES
Ohio Other 080161175 RAILROAD
Ohio MEDICAID 2117524 RAILROAD

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