Staples, Gloria V

Staples, Gloria V is an sole proprietor health care provider with primary practice located at 315 W 16Th St Suite A, Hopkinsville KY 42240-1903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Staples, Gloria V can be contacted via phone (270) 707-7530.

Contact Information

Primary practice address
315 W 16Th St Suite A Hopkinsville KY 42240-1903
Phone: (270) 707-7530
Fax: (270) 707-7532
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40217 Kentucky

Profile Details

NPI number 1174589618
LBN Legal business name Staples, Gloria V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Oct 30th, 2007 - about 19 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 1174589618 NPPES
Kentucky Other 000000391905 ANTHEM BCBS
Kentucky Other P00383175 ANTHEM BCBS
Kentucky MEDICAID 64118136 ANTHEM BCBS

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