Stansell, Stanley R

Stansell, Stanley R is an individual health care provider with primary practice located at 397 Little Neck Rd Ste 100 , Virginia Beach VA 23452-5764. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Stansell, Stanley R can be contacted via phone (757) 470-5570.

Contact Information

Primary practice address
397 Little Neck Rd Ste 100 Virginia Beach VA 23452-5764
Fax: (757) 961-9359
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110001891 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0101279 North Carolina

Profile Details

NPI number 1093705444
LBN Legal business name Stansell, Stanley R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Dec 17th, 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 1093705444 NPPES
Other P00169884 RAILROAD MEDICARE

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