Stallman, Paul T

Stallman, Paul T is an sole proprietor health care provider with primary practice located at 2 James Way Suite 203, Pismo Beach CA 93449-4973. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Stallman, Paul T can be contacted via phone (805) 481-3733.

Contact Information

Primary practice address
2 James Way Suite 203 Pismo Beach CA 93449-4973
Phone: (805) 481-3733
Fax: (805) 489-7376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G81743 California
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X G81743 California

Profile Details

NPI number 1336120005
LBN Legal business name Stallman, Paul T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Oct 18th, 2017 - about 9 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 1336120005 NPPES
California Other 00G817430 BLUE SHIELD OF CALIFORNIA
California Other G81743 BLUE SHIELD OF CALIFORNIA

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