Staub, John Barry

Staub, John Barry is an individual health care provider with primary practice located at 2706 W Cuthbert Ave Ste C , Midland TX 79701-3887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Staub, John Barry can be contacted via phone (432) 687-0311.

Contact Information

Primary practice address
2706 W Cuthbert Ave Ste C Midland TX 79701-3887
Fax: (432) 687-0312
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X H3422 Texas

Profile Details

NPI number 1730180134
LBN Legal business name Staub, John Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Dec 19th, 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 1730180134 NPPES
Texas MEDICAID 120382005

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