Berner, Stacey Hale

Berner, Stacey Hale is an individual health care provider with primary practice located at 10 Crossroads Dr Suite 210, Owings Mills MD 21117-5458. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Berner, Stacey Hale can be contacted via phone (410) 484-8088.

Contact Information

Primary practice address
10 Crossroads Dr Suite 210 Owings Mills MD 21117-5458
Phone: (410) 484-8088
Fax: (410) 581-9485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D0046117 Maryland
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101045738 Virginia
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X C10005022 Delaware

Profile Details

NPI number 1154339620
LBN Legal business name Berner, Stacey Hale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Aug 3rd, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154339620 NPPES
District of Columbia Other W5200002 BLUE SHIELD
District of Columbia MEDICAID 160631000 BLUE SHIELD
District of Columbia Other 53253404 BLUE SHIELD

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