Stillman, Charles Allen
Stillman, Charles Allen is an sole proprietor health care provider with primary practice located at 546 E Pine St , Stockton CA 95204-5525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stillman, Charles Allen can be contacted via phone (209) 467-1000.Contact Information
Primary practice address
546 E Pine St
Stockton CA 95204-5525
Phone: (209) 467-1000
Fax: (209) 467-7335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 20A11027 | California |
Profile Details
| NPI number | 1508836453 |
|---|---|
| LBN Legal business name | Stillman, Charles Allen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Mar 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508836453 | NPPES |
| California | MEDICAID | 1508836453 |
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