Eric Robert Stockall in Okemos - Specialist

Eric Robert Stockall - NPI 1972560415

Eric Robert Stockall is a Specialist in Okemos, Michigan. Eric Robert Stockall practices all healthcare services and medical treatments related to Specialist. The NPI Number for Eric Robert Stockall is 1972560415. The last update date is 2018-09-20.

Eric Robert Stockall's current location address is 2090 Jolly Rd, Okemos, Michigan. You can contact this provider via phone number 5173493900 and fax number 5173493939. The mailing address for Eric Robert Stockall is 2090 Jolly Rd, Okemos, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Robert Stockall
Address 2090 Jolly Rd, Okemos, Michigan
Phone Number 5173493900
Fax Number 5173493939
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1972560415
Provider Enumeration Date 2006-04-27
Last Updated Date 2018-09-20

Provider Mailing Address Detail

Address 2090 Jolly Rd
City Okemos
State Michigan (MI)
Post Code 488643958
Phone Number 5173493900
Fax Number 5173493939

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 4301050188
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
330578 MI BLUE CROSS BLUE SHIELD
124132 MI PREFERRED CHOICES
C6406 MI MCARE
4172326 MI --

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FAQs about Eric Robert Stockall

What is the unique identifier code issued to Eric Robert Stockall by the Centers for Medicare & Medicaid Services (CMS)?

The Eric Robert Stockall has been assigned the NPI (National Provider Identifier) 1972560415. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Eric Robert Stockall is physically located?

The Eric Robert Stockall is situated at the following address: 2090 Jolly Rd, Okemos, MI 488643958.

What is Eric Robert Stockall's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Eric Robert Stockall is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1972560415 to Eric Robert Stockall?

The Eric Robert Stockall received its 1972560415 assignment from the Centers for Medicare & Medicaid Services on 2006-04-27.

When was the information pertaining to Eric Robert Stockall most recently updated or revised?

The details related to Eric Robert Stockall, including its address, specialty, and other relevant information, were last updated or revised on 2018-09-20.

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