Stolba, Michael Dale

Stolba, Michael Dale is an sole proprietor health care provider with primary practice located at 507 Main St , Texarkana TX 75501-5503. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stolba, Michael Dale can be contacted via phone (903) 794-7981.

Contact Information

Primary practice address
507 Main St Texarkana TX 75501-5503
Phone: (903) 794-7981
Fax: (903) 792-0288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 9041 Texas
Chiropractic Providers / Chiropractor 111N00000X 1623 Arkansas

Profile Details

NPI number 1942307913
LBN Legal business name Stolba, Michael Dale
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1942307913 NPPES
Texas Other 8F2413 BC/BS PROVIDER #
Texas Other 5F123 BC/BS PROVIDER #
Texas Other 0026HJ BC/BS PROVIDER #
Texas Other 5X792 BC/BS PROVIDER #

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