Clasen, Stacey Bradford
Clasen, Stacey Bradford is an individual health care provider with primary practice located at 515 Westbank Expy Suite 7, Gretna LA 70053-5644. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Clasen, Stacey Bradford can be contacted via phone (504) 366-7233.Contact Information
Primary practice address
515 Westbank Expy Suite 7
Gretna LA 70053-5644
Phone: (504) 366-7233
Fax: (504) 366-0686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD.025608 | Louisiana |
Profile Details
| NPI number | 1821042607 |
|---|---|
| LBN Legal business name | Clasen, Stacey Bradford |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jan 20th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821042607 | NPPES |
| Louisiana | MEDICAID | 1043583 |
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