Stam, Marc Denton
Stam, Marc Denton is an sole proprietor health care provider with primary practice located at 1102 W 32Nd St , Joplin MO 64804-3503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Stam, Marc Denton can be contacted via phone (417) 347-5001.Contact Information
Primary practice address
1102 W 32Nd St
Joplin MO 64804-3503
Phone: (417) 347-5001
Fax: (417) 347-2477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 0101224774 | Virginia |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | E-9841 | Arkansas |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | DR.0054365 | Colorado |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 2024015247 | Missouri |
Profile Details
| NPI number | 1487690186 |
|---|---|
| LBN Legal business name | Stam, Marc Denton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jun 28th, 2024 - about 6 months 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 | 1487690186 | NPPES |
| Virginia | MEDICAID | 010055431 | |
| Virginia | MEDICAID | 15573 |
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