Stafford, George Timothy
Stafford, George Timothy is an sole proprietor health care provider with primary practice located at 5800 Blue Spruce Ave , Alamosa CO 81101-9738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stafford, George Timothy can be contacted via phone (719) 589-0371.Contact Information
Primary practice address
5800 Blue Spruce Ave
Alamosa CO 81101-9738
Phone: (719) 589-0371
Fax: (719) 589-0371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 37393 | Colorado |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 3542 | Alabama |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 3235A | Wyoming |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 8440 | Montana |
Profile Details
| NPI number | 1023142817 |
|---|---|
| LBN Legal business name | Stafford, George Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Aug 13th, 2009 - about 17 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 | 1023142817 | NPPES |
| Colorado | MEDICAID | 01373935 | |
| Colorado | MEDICAID | 0149702 |
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