Stanley, Markus B
Stanley, Markus B is an individual health care provider with primary practice located at 110 King Arthurs Rdg , Vicksburg MS 39180-9767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stanley, Markus B can be contacted via phone (601) 636-0528.Contact Information
Primary practice address
110 King Arthurs Rdg
Vicksburg MS 39180-9767
Phone: (601) 636-0528
Fax: (601) 883-0197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13941 | Mississippi |
Profile Details
| NPI number | 1417999301 |
|---|---|
| LBN Legal business name | Stanley, Markus B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Apr 24th, 2008 - about 17 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 | 1417999301 | NPPES |
| Mississippi | MEDICAID | 00112135 |
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