Stodard, Michael O
Stodard, Michael O is an sole proprietor health care provider with primary practice located at 1208 Us Highway 98 , Daphne AL 36526-4254. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stodard, Michael O can be contacted via phone (251) 626-5377.Contact Information
Primary practice address
1208 Us Highway 98
Daphne AL 36526-4254
Phone: (251) 626-5377
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 09655 | Mississippi |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD34796 | Alabama |
Profile Details
| NPI number | 1538187885 |
|---|---|
| LBN Legal business name | Stodard, Michael O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 4th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538187885 | NPPES |
| Alabama | Other | 730-13088 | BLUE CROSS BLUE SHIELD |
| Alabama | MEDICAID | 00015240 | BLUE CROSS BLUE SHIELD |
| Alabama | MEDICAID | 009965870 | BLUE CROSS BLUE SHIELD |
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