Stiles, Stuart

Stiles, Stuart is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stiles, Stuart can be contacted via phone (607) 763-6412.

Contact Information

Primary practice address
33-57 Harrison St Johnson City NY 13790-2143
Phone: (607) 763-6412
Fax: (607) 763-5854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 154147 New York

Profile Details

NPI number 1750374518
LBN Legal business name Stiles, Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Nov 19th, 2011 - about 13 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 1750374518 NPPES
New York MEDICAID 01096175

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