Childs, Stacy Jay

Childs, Stacy Jay is an individual health care provider with primary practice located at 501 Anglers Dr Ste 202, Steamboat Springs CO 80487-8840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Childs, Stacy Jay can be contacted via phone (970) 871-9710.

Contact Information

Primary practice address
501 Anglers Dr Ste 202 Steamboat Springs CO 80487-8840
Fax: (970) 871-9709
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 34579 Colorado

Profile Details

NPI number 1538252580
LBN Legal business name Childs, Stacy Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 25th, 2008 - about 16 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 1538252580 NPPES
Colorado MEDICAID 01345792

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