Capehart, Stephanie Kay
Capehart, Stephanie Kay is an individual health care provider with primary practice located at 4102 24Th St Ste. 403, Lubbock TX 79410-1806. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Capehart, Stephanie Kay can be contacted via phone (806) 725-7150.Contact Information
Primary practice address
4102 24Th St Ste. 403
Lubbock TX 79410-1806
Phone: (806) 725-7150
Fax: (806) 723-6136
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA04001 | Texas |
Profile Details
NPI number | 1639175052 |
---|---|
LBN Legal business name | Capehart, Stephanie Kay |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2005 |
Last updated | Jul 27th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639175052 | NPPES |
Texas | MEDICAID | 321200301 | |
Texas | Other | 8271NA | |
Texas | Other | 138110102 | |
Texas | MEDICAID | 56059531 |
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