Stanford, Douglas L
Stanford, Douglas L is an individual health care provider with primary practice located at 432 King Dr , Waterloo IA 50702-5956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Stanford, Douglas L can be contacted via phone (319) 234-5764.Contact Information
Primary practice address
432 King Dr
Waterloo IA 50702-5956
Phone: (319) 234-5764
Fax: (319) 234-1336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 21994 | Iowa |
Profile Details
| NPI number | 1811995517 |
|---|---|
| LBN Legal business name | Stanford, Douglas L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1811995517 | NPPES |
| Iowa | MEDICAID | 0171140 | |
| Iowa | Other | IA0114 | |
| Iowa | Other | 26938 |
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