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Individual

MR. STANLEY JOHN

Active
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Individual

MR. STANLEY JOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS RRT

Taxonomy

Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
2278G0305X
Geriatric Care Certified Respiratory Therapist
2278P1005X
Pulmonary Rehabilitation Certified Respiratory Therapist
227900000X
Registered Respiratory Therapist
Primary
L04508
MD
2279E1000X
Educational Registered Respiratory Therapist
2279G1100X
General Care Registered Respiratory Therapist
2279H0200X
Home Health Registered Respiratory Therapist
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Enumeration date
01/21/2018
Last updated
01/21/2018
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