Beaty, Stacy

Beaty, Stacy is an individual health care provider with primary practice located at 1755 S Grand , St Louis MO 63104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Beaty, Stacy can be contacted via phone (314) 256-3433.

Contact Information

Primary practice address
1755 S Grand St Louis MO 63104
Fax: (314) 256-3431
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2005004429 Missouri

Profile Details

NPI number 1669499638
LBN Legal business name Beaty, Stacy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jul 8th, 2007 - about 17 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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