Copeland, Stacey Ellen

Copeland, Stacey Ellen is an individual health care provider with primary practice located at 6500 Hospital Dr , Hannibal MO 63401-6890. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Copeland, Stacey Ellen can be contacted via phone (573) 629-3400.

Contact Information

Primary practice address
6500 Hospital Dr Hannibal MO 63401-6890
Phone: (573) 629-3400
Fax: (573) 629-3414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2017033858 Missouri

Profile Details

NPI number 1861590770
LBN Legal business name Copeland, Stacey Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Sep 22nd, 2022 - about 3 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 1861590770 NPPES
Missouri Other P02146838 RAILROAD MEDICARE
Missouri MEDICAID 7300007000 RAILROAD MEDICARE

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