Stafford, William Lewis

Stafford, William Lewis is an individual health care provider with primary practice located at 85 N Grand Ave , Fort Thomas KY 41075-1793. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Stafford, William Lewis can be contacted via phone (859) 912-7211.

Contact Information

Primary practice address
85 N Grand Ave Fort Thomas KY 41075-1793
Phone: (859) 912-7211
Fax: (859) 655-6674
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23217 Kentucky
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 23217 Kentucky

Profile Details

NPI number 1932287174
LBN Legal business name Stafford, William Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Mar 8th, 2021 - about 5 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 1932287174 NPPES
Kentucky MEDICAID 64232176
Kentucky Other K070350
Kentucky MEDICAID 2982812

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