Bean, Stacey L
Bean, Stacey L is an individual health care provider with primary practice located at 1501 E 10Th St , Atlantic IA 50022-1936. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bean, Stacey L can be contacted via phone (712) 243-2850.Contact Information
Primary practice address
1501 E 10Th St
Atlantic IA 50022-1936
Phone: (712) 243-2850
Fax: (712) 243-7423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 001688 | Iowa |
Profile Details
| NPI number | 1831283092 |
|---|---|
| LBN Legal business name | Bean, Stacey L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Aug 28th, 2019 - about 6 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 | 1831283092 | NPPES |
| Iowa | MEDICAID | 3032763 |
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