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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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 1821170424 NPPES
North Carolina MEDICAID 5902317

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