Stockton, James W

Stockton, James W is an individual health care provider with primary practice located at 2010 27Th Ave S , Minneapolis MN 55406-1108. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stockton, James W can be contacted via phone (612) 336-8478.

Contact Information

Primary practice address
2010 27Th Ave S Minneapolis MN 55406-1108
Phone: (612) 336-8478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9976 Minnesota

Profile Details

NPI number 1063486256
LBN Legal business name Stockton, James W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 9th, 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 1063486256 NPPES
Minnesota Other BLUE CROSS BLUE SHIE BLUE CROSS ID NUMBER
Minnesota Other 710609 BLUE CROSS ID NUMBER

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