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:
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Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891957023 NPPES
Colorado MEDICAID 78927528

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