Dr. Samuel Alexander Stalcup
Internist - Addiction Medicine
251 Lafayette Cir Suite 150
Lafayette
, California 94549-4342
Dr. Samuel Alexander Stalcup
Internist - Addiction Medicine
251 Lafayette Cir Suite 150
Lafayette
, California 94549-4342
(925) 284-5204
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Samuel Alexander Stalcup
- 251 Lafayette Cir Suite 150
- Lafayette, CA
- Zip : 94549-4342
- Fax : (925) 284-5204
- Phone : (925) 284-5200
Second Address
- Dr. Samuel Alexander Stalcup
- 251 Lafayette Cir Suite 150
- Lafayette, CA
- Zip : 94549-4342
- Fax : (925) 284-5204
- Phone : (925) 284-5200
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Is Dr. Samuel Alexander Stalcup a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | A25771 | CA |
National Provider Identifier
| NPI | 1598738460 |
|---|---|
| Provider Name | Dr. Samuel Alexander Stalcup |
| First Address | Lafayette, CA 94549-4342 |
| Second Address | Lafayette, CA 94549-4342 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2006 |
| Last Update Date | 30/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A257710 | (05) | CA |
| B16678 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.