Church, Stacy Annette
Church, Stacy Annette is an individual health care provider with primary practice located at 3100 Maccorkle Ave Se Suite 610, Charleston WV 25304-1223. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Church, Stacy Annette can be contacted via phone (304) 346-1141.Contact Information
Primary practice address
3100 Maccorkle Ave Se Suite 610
Charleston WV 25304-1223
Phone: (304) 346-1141
Fax: (304) 346-1142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 01163 | West Virginia |
Profile Details
| NPI number | 1114930658 |
|---|---|
| LBN Legal business name | Church, Stacy Annette |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jun 21st, 2011 - about 15 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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