Stallion, Anthony

Stallion, Anthony is an individual health care provider with primary practice located at 100 Medical Park Dr Suite 310, Concord NC 28025-2966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Stallion, Anthony can be contacted via phone (704) 403-2662.

Contact Information

Primary practice address
100 Medical Park Dr Suite 310 Concord NC 28025-2966
Phone: (704) 403-2662
Fax: (704) 403-2670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 35060022S Ohio
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 2013-01542 North Carolina

Profile Details

NPI number 1265499206
LBN Legal business name Stallion, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Dec 6th, 2016 - about 10 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 1265499206 NPPES
Ohio MEDICAID 0803198
Ohio MEDICAID 1265499206
Ohio MEDICAID Q0154E

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