Stanmore, Roger Dale

Stanmore, Roger Dale is an individual health care provider with primary practice located at 7583 Wall Triana Hwy , Madison AL 35757-8327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stanmore, Roger Dale can be contacted via phone (256) 547-6119.

Contact Information

Primary practice address
7583 Wall Triana Hwy Madison AL 35757-8327
Fax: (256) 546-2981
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00013106 Alabama

Profile Details

NPI number 1295772986
LBN Legal business name Stanmore, Roger Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 7th, 2023 - about 2 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 1295772986 NPPES
Alabama Other 51532050 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 009932569 BLUE CROSS BLUE SHIELD
Alabama Other 3015 BLUE CROSS BLUE SHIELD
Alabama Other 51001283 BLUE CROSS BLUE SHIELD
Alabama Other 3002 BLUE CROSS BLUE SHIELD

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