Stidham, Dorothy Ellen
Stidham, Dorothy Ellen is an sole proprietor health care provider with primary practice located at 1911 Military St S , Hamilton AL 35570-6611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stidham, Dorothy Ellen can be contacted via phone (205) 952-9603.Contact Information
Primary practice address
1911 Military St S
Hamilton AL 35570-6611
Phone: (205) 952-9603
Fax: (205) 952-9661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1061751 | Alabama |
Profile Details
| NPI number | 1578664652 |
|---|---|
| LBN Legal business name | Stidham, Dorothy Ellen |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 5th, 2022 - about 2 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 | 1578664652 | NPPES |
| Alabama | MEDICAID | 051552982 |
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