Black, Stacey Rae

Black, Stacey Rae is an sole proprietor health care provider with primary practice located at 990 Oak Ridge Tpke , Oak Ridge TN 37830-6976. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Black, Stacey Rae can be contacted via phone (866) 730-5619.

Contact Information

Primary practice address
990 Oak Ridge Tpke Oak Ridge TN 37830-6976
Phone: (866) 730-5619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 45984 Arizona
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 45984 Arizona
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 64805 Tennessee

Profile Details

NPI number 1336291038
LBN Legal business name Black, Stacey Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Mar 1st, 2023 - about last year

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.

Request for update

Popular Providers