Stim, James

Stim, James is an individual health care provider with primary practice located at 612 Roxbury Rd , Rockford IL 61107-5089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Stim, James can be contacted via phone (815) 227-8300.

Contact Information

Primary practice address
612 Roxbury Rd Rockford IL 61107-5089
Phone: (815) 227-8300
Fax: (815) 227-8301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036078891 Illinois

Profile Details

NPI number 1104827427
LBN Legal business name Stim, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Apr 22nd, 2011 - 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 1104827427 NPPES
Wisconsin MEDICAID 34174600
Wisconsin Other 1616108
Wisconsin MEDICAID 036078891
Wisconsin Other P00605029

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