Stanton, Robert A

Stanton, Robert A is an individual health care provider with primary practice located at 305 Black Rock Tpke Orthopaedic Specialty Group, Fairfield CT 06825-5508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Stanton, Robert A can be contacted via phone (203) 337-2600.

Contact Information

Primary practice address
305 Black Rock Tpke Orthopaedic Specialty Group Fairfield CT 06825-5508
Phone: (203) 337-2600
Fax: (203) 337-2666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 017128 Connecticut

Profile Details

NPI number 1912919978
LBN Legal business name Stanton, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Mar 29th, 2017 - about 7 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 1912919978 NPPES
Other TIN GREAT WEST
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Other ZS306 GREAT WEST
Other 000508 GREAT WEST
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Other 0085224 GREAT WEST
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Other 010017128CT02 GREAT WEST
Other 329051 (2) (3) GREAT WEST
Other 571289 GREAT WEST
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MEDICAID 001171289 GREAT WEST
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