Stanley, John
Stanley, John is an sole proprietor health care provider with primary practice located at 36561 Harper Ave , Clinton Twp MI 48035-2012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stanley, John can be contacted via phone (586) 791-0620.Contact Information
Primary practice address
36561 Harper Ave
Clinton Twp MI 48035-2012
Phone: (586) 791-0620
Fax: (586) 791-5565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301054376 | Michigan |
Profile Details
| NPI number | 1326041187 |
|---|---|
| LBN Legal business name | Stanley, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Dec 27th, 2012 - about 12 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 | 1326041187 | NPPES |
| Michigan | Other | 4301054376 | STATE LICENSE |
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