Stanford, Todd E

Stanford, Todd E is an individual health care provider with primary practice located at 281 N. Lyerly St. Suite 200, Chattanooga TN 37404. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stanford, Todd E can be contacted via phone (423) 698-0850.

Contact Information

Primary practice address
281 N. Lyerly St. Suite 200 Chattanooga TN 37404
Phone: (423) 698-0850
Fax: (423) 698-0511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4958 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1448 Tennessee

Profile Details

NPI number 1518010537
LBN Legal business name Stanford, Todd E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2007
Last updated Mar 28th, 2017 - about 7 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 1518010537 NPPES
Tennessee Other 4223195 BCBS OF TN

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