Stanley, Richard Alan

Stanley, Richard Alan is an sole proprietor health care provider with primary practice located at 5905 S Emerson Ave Suite 300, Indianapolis IN 46237-2402. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Stanley, Richard Alan can be contacted via phone (317) 784-7039.

Contact Information

Primary practice address
5905 S Emerson Ave Suite 300 Indianapolis IN 46237-2402
Phone: (317) 784-7039
Fax: (317) 784-7046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000596A Indiana

Profile Details

NPI number 1366430944
LBN Legal business name Stanley, Richard Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2005
Last updated Jun 19th, 2008 - about 16 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 1366430944 NPPES
Indiana MEDICAID 100227280

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