Stanton, John L
Stanton, John L is an individual health care provider with primary practice located at 980 Professional Park Dr Suite A, Clarksville TN 37040-5251. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Stanton, John L can be contacted via phone (931) 905-1001.Contact Information
Primary practice address
980 Professional Park Dr Suite A
Clarksville TN 37040-5251
Phone: (931) 905-1001
Fax: (931) 905-0410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD28572 | Tennessee |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD28572 | Tennessee |
Profile Details
| NPI number | 1245233063 |
|---|---|
| LBN Legal business name | Stanton, John L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Apr 30th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245233063 | NPPES |
| Tennessee | MEDICAID | 3807449 | |
| Tennessee | Other | 64926090 |
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