Stafford, Michael Trace
Stafford, Michael Trace is an individual health care provider with primary practice located at 1123 Belleville Ave , Brewton AL 36426-1505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stafford, Michael Trace can be contacted via phone (251) 867-8001.Contact Information
Primary practice address
1123 Belleville Ave
Brewton AL 36426-1505
Phone: (251) 867-8001
Fax: (251) 867-9643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | DO.2013 | Alabama |
Profile Details
| NPI number | 1356757991 |
|---|---|
| LBN Legal business name | Stafford, Michael Trace |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2014 |
| Last updated | Aug 5th, 2020 - about 6 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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