Staton, Rodney J

Staton, Rodney J is an individual health care provider with primary practice located at 2863 Highway 45 Byp , Jackson TN 38305-3618. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Staton, Rodney J can be contacted via phone (731) 664-1375.

Contact Information

Primary practice address
2863 Highway 45 Byp Jackson TN 38305-3618
Phone: (731) 664-1375
Fax: (731) 660-2558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPM361 Tennessee

Profile Details

NPI number 1184692956
LBN Legal business name Staton, Rodney J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 29th, 2012 - about 12 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 1184692956 NPPES
Tennessee MEDICAID 3351673

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