Stauffer, David Mark
Stauffer, David Mark is an sole proprietor health care provider with primary practice located at 2825 Lyndhurst Ave Suite 105, Winston-Salem NC 27103-4146. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Stauffer, David Mark can be contacted via phone (336) 768-3305.Contact Information
Primary practice address
2825 Lyndhurst Ave Suite 105
Winston-Salem NC 27103-4146
Phone: (336) 768-3305
Fax: (336) 768-3350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 91 | North Carolina |
Profile Details
| NPI number | 1447201587 |
|---|---|
| LBN Legal business name | Stauffer, David Mark |
| Credentials | DPM PLLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2006 |
| Last updated | Jan 16th, 2013 - about 11 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 | 1447201587 | NPPES |
| North Carolina | MEDICAID | 8968324 | |
| North Carolina | Other | 08171 |
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