Stanford, Gary

Stanford, Gary is an individual health care provider with primary practice located at 301 W 14Th St , Sioux Falls SD 57104-6841. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Stanford, Gary can be contacted via phone (605) 338-6251.

Contact Information

Primary practice address
301 W 14Th St Sioux Falls SD 57104-6841
Fax: (605) 333-0018
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X South Dakota

Profile Details

NPI number 1538255278
LBN Legal business name Stanford, Gary
Credentials MS, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538255278 NPPES
South Dakota MEDICAID 9150560

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