Stansbury, Timothy Jack

Stansbury, Timothy Jack is an individual health care provider with primary practice located at 915 N Grand Blvd , Saint Louis MO 63106-1621. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as his primary health care specialty. Stansbury, Timothy Jack can be contacted via phone (314) 652-4100.

Contact Information

Primary practice address
915 N Grand Blvd Saint Louis MO 63106-1621
Phone: (314) 652-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X 376828 Missouri

Profile Details

NPI number 1104001833
LBN Legal business name Stansbury, Timothy Jack
Credentials R.T. (R)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2007
Last updated Dec 31st, 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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