Anderson, Stacey Lea

Anderson, Stacey Lea is an individual health care provider with primary practice located at 8 S Main St , Madison ME 04950-4501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Anderson, Stacey Lea can be contacted via phone (207) 696-3992.

Contact Information

Primary practice address
8 S Main St Madison ME 04950-4501
Phone: (207) 696-3992
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD22365 Maine
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD22365 Maine

Profile Details

NPI number 1710990775
LBN Legal business name Anderson, Stacey Lea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated May 2nd, 2024 - about 7 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 1710990775 NPPES
Maine MEDICAID 1710990775

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