Stanford, James K
Stanford, James K is an sole proprietor health care provider with primary practice located at 1117 Sunset Dr Suite 101, Grenada MS 38901-4080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stanford, James K can be contacted via phone (662) 227-1744.Contact Information
Primary practice address
1117 Sunset Dr Suite 101
Grenada MS 38901-4080
Phone: (662) 227-1744
Fax: (662) 226-1116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12541 | Mississippi |
Profile Details
| NPI number | 1033220512 |
|---|---|
| LBN Legal business name | Stanford, James K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1033220512 | NPPES |
| Mississippi | MEDICAID | 00125675 |
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