Stanich, Charles A

Stanich, Charles A is an individual health care provider with primary practice located at 4500 13Th Street , Gulfport MS 39501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Stanich, Charles A can be contacted via phone (228) 867-4396.

Contact Information

Primary practice address
4500 13Th Street Gulfport MS 39501
Fax: (228) 867-5354
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 19513 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19513 Mississippi

Profile Details

NPI number 1356424576
LBN Legal business name Stanich, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Sep 28th, 2023 - about 2 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 1356424576 NPPES
Mississippi Other 646000515E BLUE CROSS OF MS

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