Stover, Phillip Roger
Stover, Phillip Roger is an sole proprietor health care provider with primary practice located at 7777 Highway 43 North , Mcintosh AL 36553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Stover, Phillip Roger can be contacted via phone (251) 944-2842.Contact Information
Primary practice address
7777 Highway 43 North
Mcintosh AL 36553
Phone: (251) 944-2842
Fax: (251) 944-8070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 13892 | Alabama |
Profile Details
| NPI number | 1962453852 |
|---|---|
| LBN Legal business name | Stover, Phillip Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2006 |
| Last updated | Mar 3rd, 2010 - about 16 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 | 1962453852 | NPPES |
| Alabama | Other | 1962453852 | NPI |
| Alabama | Other | 51591327 | NPI |
| Alabama | MEDICAID | 631502023 | NPI |
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