Gately, Stanley E.
Gately, Stanley E. is an individual health care provider with primary practice located at 1808 W Main St , Russellville AR 72801-2724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gately, Stanley E. can be contacted via phone (479) 968-2841.Contact Information
Primary practice address
1808 W Main St
Russellville AR 72801-2724
Phone: (479) 968-2841
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | C6606 | Arkansas |
Profile Details
| NPI number | 1497756407 |
|---|---|
| LBN Legal business name | Gately, Stanley E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jun 3rd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497756407 | NPPES |
| Arkansas | MEDICAID | 113710001 | |
| Arkansas | Other | 51200 | |
| Arkansas | Other | 050032849 | |
| Arkansas | Other | 770078101 |
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