Staten, Pamela
Staten, Pamela is an individual health care provider with primary practice located at 2225 Washington Dr , Douglasville GA 30135-8141. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Staten, Pamela can be contacted via phone (678) 485-9339.Contact Information
Primary practice address
2225 Washington Dr
Douglasville GA 30135-8141
Phone: (678) 485-9339
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OTA000233 | Georgia |
| Other Service Providers / Specialist | 174400000X | Georgia |
Profile Details
| NPI number | 1942665526 |
|---|---|
| LBN Legal business name | Staten, Pamela |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2015 |
| Last updated | Dec 23rd, 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 | 1942665526 | NPPES |
| Wisconsin | Other | 224Z00000X | MEDICARE |
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