Stathulis, Evan D
Stathulis, Evan D is an sole proprietor health care provider with primary practice located at 725 Buckles Court North Suite 100, Gahanna OH 43230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stathulis, Evan D can be contacted via phone (614) 471-9654.Contact Information
Primary practice address
725 Buckles Court North Suite 100
Gahanna OH 43230
Phone: (614) 471-9654
Fax: (614) 392-4586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-065900 | Ohio |
Profile Details
| NPI number | 1215904180 |
|---|---|
| LBN Legal business name | Stathulis, Evan D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Nov 21st, 2018 - about 6 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 | 1215904180 | NPPES |
| Ohio | MEDICAID | 0122012 |
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