Stockwell, Frederick Davis

Stockwell, Frederick Davis is an individual health care provider with primary practice located at 50 N. Progress Dr. , Xenia OH 45385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stockwell, Frederick Davis can be contacted via phone (937) 374-4040.

Contact Information

Primary practice address
50 N. Progress Dr. Xenia OH 45385
Phone: (937) 374-4040
Fax: (937) 374-4020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35043256 Ohio

Profile Details

NPI number 1326047069
LBN Legal business name Stockwell, Frederick Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Apr 2nd, 2008 - 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 1326047069 NPPES
Ohio Other 000000012506 ANTHEM
Ohio MEDICAID 0402317 ANTHEM
Ohio Other P00432937 ANTHEM

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