Stambaugh, Merris A

Stambaugh, Merris A is an individual health care provider with primary practice located at 1107 Brookdale St , Martinsville VA 24112-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stambaugh, Merris A can be contacted via phone (276) 670-3300.

Contact Information

Primary practice address
1107 Brookdale St Martinsville VA 24112-4501
Phone: (276) 670-3300
Fax: (276) 634-0379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101-058735 Virginia

Profile Details

NPI number 1295707586
LBN Legal business name Stambaugh, Merris A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Aug 16th, 2021 - about 4 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 1295707586 NPPES
Virginia MEDICAID 005638674

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