Stafford, Joseph William

Stafford, Joseph William is an sole proprietor health care provider with primary practice located at 312 N Kentucky Ave , West Plains MO 65775-2073. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is his primary health care specialty. Stafford, Joseph William can be contacted via phone (417) 257-7076.

Contact Information

Primary practice address
312 N Kentucky Ave West Plains MO 65775-2073
Phone: (417) 257-7076
Fax: (417) 257-1417
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X R3F13 Missouri
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1528064102
LBN Legal business name Stafford, Joseph William
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated Sep 6th, 2012 - about 14 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 1528064102 NPPES
Missouri MEDICAID 202169405

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