Atherton, Stacy Marie
Atherton, Stacy Marie is an individual health care provider with primary practice located at 1305 Sumner St Ste 200, Longmont CO 80501-3271. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Atherton, Stacy Marie can be contacted via phone (303) 772-3232.Contact Information
Primary practice address
1305 Sumner St Ste 200
Longmont CO 80501-3271
Phone: (303) 772-3232
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | DP00437 | Oregon |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 703 | Colorado |
Profile Details
NPI number | 1891957023 |
---|---|
LBN Legal business name | Atherton, Stacy Marie |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2008 |
Last updated | Mar 22nd, 2011 - about 14 years 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891957023 | NPPES |
Colorado | MEDICAID | 78927528 |
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