Stavis, Robert L.

Stavis, Robert L. is an individual health care provider with primary practice located at 2525 Chicago Ave , Minneapolis MN 55404-4518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Stavis, Robert L. can be contacted via phone (612) 813-6000.

Contact Information

Primary practice address
2525 Chicago Ave Minneapolis MN 55404-4518
Phone: (612) 813-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD025087E Pennsylvania

Profile Details

NPI number 1336224427
LBN Legal business name Stavis, Robert L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jan 29th, 2020 - about 5 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 1336224427 NPPES
New Jersey MEDICAID 5307309
New Jersey MEDICAID 64068554
New Jersey MEDICAID 1312103
New Jersey MEDICAID 000951742

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