Alam, Staci Hardy

Alam, Staci Hardy is an sole proprietor health care provider with primary practice located at 5955 Airport Blvd , Mobile AL 36608. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alam, Staci Hardy can be contacted via phone (251) 633-0573.

Contact Information

Primary practice address
5955 Airport Blvd Mobile AL 36608
Phone: (251) 633-0573
Fax: (251) 633-7367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-094441 Alabama

Profile Details

NPI number 1962907618
LBN Legal business name Alam, Staci Hardy
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2018
Last updated Feb 23rd, 2024 - about 9 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962907618 NPPES
Alabama Other 512-11027 BCBS
Alabama Other Z54594 BCBS
Alabama Other A00613A BCBS
Alabama MEDICAID 218235 BCBS
Alabama MEDICAID 219701 BCBS
Alabama Other 512-10626 BCBS
Alabama Other P02048503 BCBS
Alabama Other 6775695 BCBS
Alabama Other 6812694 BCBS

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