Stappenbeck, Richard Alois

Stappenbeck, Richard Alois is an sole proprietor health care provider with primary practice located at 33 Upper Riverdale Rd Sw Suite 111, Riverdale GA 30274-2626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Stappenbeck, Richard Alois can be contacted via phone (770) 997-4018.

Contact Information

Primary practice address
33 Upper Riverdale Rd Sw Suite 111 Riverdale GA 30274-2626
Phone: (770) 997-4018
Fax: (770) 997-8074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 020825 Georgia

Profile Details

NPI number 1568553592
LBN Legal business name Stappenbeck, Richard Alois
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Oct 25th, 2012 - about 14 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 1568553592 NPPES
Georgia MEDICAID 00211648H
Georgia Other 1568553592

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