Coleman, Stacey L.
Coleman, Stacey L. is an individual health care provider with primary practice located at 8701 Cuyamaca St , Santee CA 92071. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Coleman, Stacey L. can be contacted via phone (858) 499-2715.Contact Information
Primary practice address
8701 Cuyamaca St
Santee CA 92071
Phone: (858) 499-2715
Fax: (619) 568-8080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A6527 | California |
Profile Details
| NPI number | 1093725566 |
|---|---|
| LBN Legal business name | Coleman, Stacey L. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Oct 8th, 2020 - about 5 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 | 1093725566 | NPPES |
| California | MEDICAID | 00AX65270 |
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