Stockmann, Paul T.

Stockmann, Paul T. is an individual health care provider with primary practice located at 11123 Parkview Plaza Dr Ste 200 , Fort Wayne IN 46845-1707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Stockmann, Paul T. can be contacted via phone (260) 425-6100.

Contact Information

Primary practice address
11123 Parkview Plaza Dr Ste 200 Fort Wayne IN 46845-1707
Phone: (260) 425-6100
Fax: (260) 425-6105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 057466 Michigan
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 01078636A Indiana

Profile Details

NPI number 1588664932
LBN Legal business name Stockmann, Paul T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Apr 23rd, 2018 - about 6 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 1588664932 NPPES
Michigan MEDICAID 3289600
Michigan Other PS057466
Michigan MEDICAID 329955410
Michigan MEDICAID 4115660
Michigan Other 020H277290
Michigan Other PS057466
Michigan Other 1396817714
Michigan Other 700H262310

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