Drake, Stanley R

Drake, Stanley R is an individual health care provider with primary practice located at 525 S 4Th St , Terre Haute IN 47807-4303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Drake, Stanley R can be contacted via phone (812) 232-6613.

Contact Information

Primary practice address
525 S 4Th St Terre Haute IN 47807-4303
Phone: (812) 232-6613
Fax: (812) 234-3988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01038450A Indiana

Profile Details

NPI number 1992722490
LBN Legal business name Drake, Stanley R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 13th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992722490 NPPES
Indiana MEDICAID 100252390A

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