Stockwell, Frederick Davis
Stockwell, Frederick Davis is an individual health care provider with primary practice located at 50 N. Progress Dr. , Xenia OH 45385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stockwell, Frederick Davis can be contacted via phone (937) 374-4040.Contact Information
Primary practice address
50 N. Progress Dr.
Xenia OH 45385
Phone: (937) 374-4040
Fax: (937) 374-4020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35043256 | Ohio |
Profile Details
| NPI number | 1326047069 |
|---|---|
| LBN Legal business name | Stockwell, Frederick Davis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Apr 2nd, 2008 - 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 | 1326047069 | NPPES |
| Ohio | Other | 000000012506 | ANTHEM |
| Ohio | MEDICAID | 0402317 | ANTHEM |
| Ohio | Other | P00432937 | ANTHEM |
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