Stocking, Stephen Wayne

Stocking, Stephen Wayne is an individual health care provider with primary practice located at 804 13Th Ave , Albany GA 31701-1328. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stocking, Stephen Wayne can be contacted via phone (229) 438-5864.

Contact Information

Primary practice address
804 13Th Ave Albany GA 31701-1328
Phone: (229) 438-5864
Fax: (229) 438-1004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003829 Georgia

Profile Details

NPI number 1104903392
LBN Legal business name Stocking, Stephen Wayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 12th, 2007 - about 17 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 1104903392 NPPES
Georgia Other 003829 LICENSE NUMBERT
Georgia MEDICAID 541421067B LICENSE NUMBERT

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