Stiles, Todd Edward

Stiles, Todd Edward is an sole proprietor health care provider with primary practice located at 2501 Kentucky Ave , Paducah KY 42003-3813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Stiles, Todd Edward can be contacted via phone (270) 575-2244.

Contact Information

Primary practice address
2501 Kentucky Ave Paducah KY 42003-3813
Phone: (270) 575-2244
Fax: (270) 415-7130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 31938 Kentucky
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 31938 Kentucky

Profile Details

NPI number 1861547309
LBN Legal business name Stiles, Todd Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Dec 9th, 2020 - about 4 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 1861547309 NPPES
Kentucky MEDICAID 64319387

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