Stagg, Stephen Woodsen

Stagg, Stephen Woodsen is an individual health care provider with primary practice located at 116 W Monroe Ave , Lowell AR 72745-9682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Stagg, Stephen Woodsen can be contacted via phone (479) 770-8090.

Contact Information

Primary practice address
116 W Monroe Ave Lowell AR 72745-9682
Fax: (479) 770-8062
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X C-8334 Arkansas

Profile Details

NPI number 1114960234
LBN Legal business name Stagg, Stephen Woodsen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Sep 3rd, 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 1114960234 NPPES
Arkansas MEDICAID 121885001

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