Stock, Vance

Stock, Vance is an individual health care provider with primary practice located at 205 E Jefferson St , Siloam Springs AR 72761-3629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Stock, Vance can be contacted via phone (479) 524-4141.

Contact Information

Primary practice address
205 E Jefferson St Siloam Springs AR 72761-3629
Fax: (479) 549-2576
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X E0324 Arkansas

Profile Details

NPI number 1255369286
LBN Legal business name Stock, Vance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Sep 24th, 2009 - about 15 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 1255369286 NPPES
Missouri MEDICAID 1255369286
Missouri MEDICAID 100217430A
Missouri MEDICAID 129450001

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