Stallo, Pamela S.

Stallo, Pamela S. is an individual health care provider with primary practice located at 63 Corporate Center Dr , Scott Depot WV 25560-7841. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Stallo, Pamela S. can be contacted via phone (304) 691-8870.

Contact Information

Primary practice address
63 Corporate Center Dr Scott Depot WV 25560-7841
Phone: (304) 691-8870
Fax: (304) 691-1665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 16984 West Virginia

Profile Details

NPI number 1477554574
LBN Legal business name Stallo, Pamela S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 23rd, 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 1477554574 NPPES
West Virginia MEDICAID 0107899000

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