Stahura, Douglas A

Stahura, Douglas A is an individual health care provider with primary practice located at 755 Medical Park Dr , Aiken SC 29801-6306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Stahura, Douglas A can be contacted via phone (803) 648-0718.

Contact Information

Primary practice address
755 Medical Park Dr Aiken SC 29801-6306
Phone: (803) 648-0718
Fax: (803) 641-9143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 721 South Carolina

Profile Details

NPI number 1467416487
LBN Legal business name Stahura, Douglas A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 9th, 2007 - about 19 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 1467416487 NPPES
South Carolina Other 7522575 AETNA PROVIDER NUMBER
South Carolina MEDICAID 007218 AETNA PROVIDER NUMBER

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