Stastny, Todd Alan
Stastny, Todd Alan is an sole proprietor health care provider with primary practice located at 400 Sw Longview Blvd Ste 200 , Lees Summit MO 64081-2116. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Stastny, Todd Alan can be contacted via phone (913) 215-5008.Contact Information
Primary practice address
400 Sw Longview Blvd Ste 200
Lees Summit MO 64081-2116
Phone: (913) 215-5008
Fax: (913) 297-1202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | R2J77 | Missouri |
Profile Details
| NPI number | 1316002975 |
|---|---|
| LBN Legal business name | Stastny, Todd Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Nov 20th, 2023 - about last year |
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 | 1316002975 | NPPES |
| Missouri | Other | 080167543 | MEDICARE RAILROAD |
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