Stoker, Chad Michael
Stoker, Chad Michael is an individual health care provider with primary practice located at 13601 N Canterbury Dr , Phoenix AZ 85023-6290. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist, Allopathic & Osteopathic Physicians / Anesthesiology. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Stoker, Chad Michael can be contacted via phone (602) 459-7456.Contact Information
Primary practice address
13601 N Canterbury Dr
Phoenix AZ 85023-6290
Phone: (602) 459-7456
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 3093873-9924 | Utah |
Dental Providers / Dentist | 122300000X | 5354 | Arizona |
Dental Providers / Dentist Anesthesiologist | 1223D0004X | 11707 | North Carolina |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 11707 | North Carolina |
Dental Providers / Dentist Anesthesiologist | 1223D0004X | D5354 | Arizona |
Profile Details
NPI number | 1629025259 |
---|---|
LBN Legal business name | Stoker, Chad Michael |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 28th, 2006 |
Last updated | Sep 8th, 2020 - about 5 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 | 1629025259 | NPPES |
Arizona | MEDICAID | 571887 |
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