Stanton, Jerry Michael

Stanton, Jerry Michael is an individual health care provider with primary practice located at 1600 Central Dr Suite 160, Bedford TX 76022-6000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Stanton, Jerry Michael can be contacted via phone (817) 268-0104.

Contact Information

Primary practice address
1600 Central Dr Suite 160 Bedford TX 76022-6000
Phone: (817) 268-0104
Fax: (817) 268-6102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X G1555 Texas

Profile Details

NPI number 1679593891
LBN Legal business name Stanton, Jerry Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Mar 7th, 2013 - about 12 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 1679593891 NPPES
Georgia Other 050033686 RAILROAD MEDICARE
Georgia Other 86W010 RAILROAD MEDICARE
Georgia Other 180403400 RAILROAD MEDICARE
Georgia MEDICAID 116585401 RAILROAD MEDICARE
Georgia Other 528901 RAILROAD MEDICARE
Georgia Other DOG1555 RAILROAD MEDICARE
Georgia Other 4389652 RAILROAD MEDICARE
Georgia Other 10028066 RAILROAD MEDICARE
Georgia Other 006895499 RAILROAD MEDICARE
Georgia Other 2028260 RAILROAD MEDICARE

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