Beaver, Stacy

Beaver, Stacy is an individual health care provider with primary practice located at 875 Ellicott St , Buffalo NY 14203-1070. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Beaver, Stacy can be contacted via phone (716) 748-2000.

Contact Information

Primary practice address
875 Ellicott St Buffalo NY 14203-1070
Phone: (716) 748-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F307070-1 New York

Profile Details

NPI number 1144608407
LBN Legal business name Beaver, Stacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2015
Last updated May 7th, 2015 - about 10 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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