Stanley, Tae-Wol

Stanley, Tae-Wol is an individual health care provider with primary practice located at 234 Eddy St Housing And Urban Health Clinic, San Francisco CA 94102-2716. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Nursing Service Providers / Ambulatory Care is his primary health care specialty. Stanley, Tae-Wol can be contacted via phone (415) 353-5081.

Contact Information

Primary practice address
234 Eddy St Housing And Urban Health Clinic San Francisco CA 94102-2716
Phone: (415) 353-5081
Fax: (415) 292-5048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X RN532879 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NPF9545 California

Profile Details

NPI number 1225165210
LBN Legal business name Stanley, Tae-Wol
Credentials NP, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225165210 NPPES
Other 976845 SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

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