Bohm, Stacey C

Bohm, Stacey C is an individual health care provider with primary practice located at 1661 Davie Ave , Statesville NC 28677-3519. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Bohm, Stacey C can be contacted via phone (704) 495-2470.

Contact Information

Primary practice address
1661 Davie Ave Statesville NC 28677-3519
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024179203 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 5013293 North Carolina

Profile Details

NPI number 1508484031
LBN Legal business name Bohm, Stacey C
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2020
Last updated Aug 26th, 2021 - about 4 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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