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
Phone: (970) 871-9710
Fax: (970) 871-9709
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538252580 | NPPES |
Colorado | MEDICAID | 01345792 |
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