Stone, Shirley J

Stone, Shirley J is an individual health care provider with primary practice located at 215 E 1St St Ste 215 , Dixon IL 61021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Stone, Shirley J can be contacted via phone (815) 285-5420.

Contact Information

Primary practice address
215 E 1St St Ste 215 Dixon IL 61021
Fax: (815) 285-5426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-070730 Illinois

Profile Details

NPI number 1578531018
LBN Legal business name Stone, Shirley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Sep 4th, 2018 - about 6 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 1578531018 NPPES
Illinois MEDICAID 036070730
Illinois Other K05111

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