Stavas, Joseph
Stavas, Joseph is an individual health care provider with primary practice located at 601 N 30Th St , Omaha NE 68131-2128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Stavas, Joseph can be contacted via phone (402) 449-4416.Contact Information
Primary practice address
601 N 30Th St
Omaha NE 68131-2128
Phone: (402) 449-4416
Fax: (402) 449-4525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 17407 | Nebraska |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 17407 | Nebraska |
Profile Details
| NPI number | 1821170424 |
|---|---|
| LBN Legal business name | Stavas, Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jul 5th, 2016 - 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 | 1821170424 | NPPES |
| North Carolina | MEDICAID | 5902317 |
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