Tolkachjov, Stanislav Nickolaevich

Tolkachjov, Stanislav Nickolaevich is an individual health care provider with primary practice located at 2000 Stonegate Trl Suite 112, Vestavia Hls AL 35242-2246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Tolkachjov, Stanislav Nickolaevich can be contacted via phone (205) 977-9876.

Contact Information

Primary practice address
2000 Stonegate Trl Suite 112 Vestavia Hls AL 35242-2246
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 57122 Minnesota
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 35179 Alabama

Profile Details

NPI number 1952662868
LBN Legal business name Tolkachjov, Stanislav Nickolaevich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Sep 21st, 2016 - about 8 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 1952662868 NPPES
Minnesota Other P01259864 RAILROAD MEDICARE

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