Stafford, John M.
Stafford, John M. is an individual health care provider with primary practice located at 3800 Hollywood Rd Ste 101 Royalton Medical Center, Saint Joseph MI 49085-8511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stafford, John M. can be contacted via phone (269) 428-2552.Contact Information
Primary practice address
3800 Hollywood Rd Ste 101 Royalton Medical Center
Saint Joseph MI 49085-8511
Phone: (269) 428-2552
Fax: (269) 428-2943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301044515 | Michigan |
Profile Details
| NPI number | 1730182247 |
|---|---|
| LBN Legal business name | Stafford, John M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2005 |
| Last updated | Nov 27th, 2013 - about 12 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 | 1730182247 | NPPES |
| Michigan | MEDICAID | 310272010 |
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