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General NPI Number Information
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NPI Number | 1649467143
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Entity Type | Organization
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Legal Business Name | ROBERT C. STONE M.D., INC.
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 405 S CAVIN ST
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City | LIGONIER
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State | IN
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Zip | 46767-1829
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Country | US
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Telephone | 260-894-4187
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Fax | 260-894-4188
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Provider Business Mailing Address
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Address Line | 405 S CAVIN ST
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City | LIGONIER
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State | IN
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Zip | 46767-1829
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Country | US
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Telephone | 260-894-4187
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Fax | 260-894-4188
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Authorized Official
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Title or Position | BOSS/OWNER/M.D.
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Name | DR. ROBERT C. STONE
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Credential | M.D.
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Telephone | 260-894-4187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01018409
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License Number State | IN
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