Stamp, Willard J
Stamp, Willard J is an sole proprietor health care provider with primary practice located at 389 N Ellsworth Ave , Salem OH 44460-2805. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stamp, Willard J can be contacted via phone (330) 332-1200.Contact Information
Primary practice address
389 N Ellsworth Ave
Salem OH 44460-2805
Phone: (330) 332-1200
Fax: (330) 332-1200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2549/T972 | Ohio |
Profile Details
| NPI number | 1518050806 |
|---|---|
| LBN Legal business name | Stamp, Willard J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2006 |
| Last updated | Mar 23rd, 2008 - about 16 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 | 1518050806 | NPPES |
| Ohio | Other | 3409444920 | BUREAU OF WORKERS COMP |
| Ohio | MEDICAID | 8368332 | BUREAU OF WORKERS COMP |
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