Wells, Stanley Dale
Wells, Stanley Dale is an individual health care provider with primary practice located at 416 Tierra Bella Dr , Alamogordo NM 88310-9673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wells, Stanley Dale can be contacted via phone (316) 734-2502.Contact Information
Primary practice address
416 Tierra Bella Dr
Alamogordo NM 88310-9673
Phone: (316) 734-2502
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2003-0257 | New Mexico |
Profile Details
| NPI number | 1407863459 |
|---|---|
| LBN Legal business name | Wells, Stanley Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Apr 8th, 2024 - about 2 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 | 1407863459 | NPPES |
| New Mexico | MEDICAID | 98338731 |
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