Stanczak, Ava Cheryl
Stanczak, Ava Cheryl is an individual health care provider with primary practice located at 645 E State Highway 121 Ste 600 , Coppell TX 75019-7942. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Stanczak, Ava Cheryl can be contacted via phone (972) 745-7500.Contact Information
Primary practice address
645 E State Highway 121 Ste 600
Coppell TX 75019-7942
Phone: (972) 745-7500
Fax: (972) 745-4336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01022011441 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G4785 | Texas |
Profile Details
| NPI number | 1750388971 |
|---|---|
| LBN Legal business name | Stanczak, Ava Cheryl |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750388971 | NPPES |
| Virginia | MEDICAID | 0102201441 |
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