Cronin, Stacia Wilson
Cronin, Stacia Wilson is an individual health care provider with primary practice located at 27303 Sleepy Hollow Ave S , Hayward CA 94545-4203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cronin, Stacia Wilson can be contacted via phone (510) 454-1000.Contact Information
Primary practice address
27303 Sleepy Hollow Ave S
Hayward CA 94545-4203
Phone: (510) 454-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A68802 | California |
Profile Details
| NPI number | 1215985981 |
|---|---|
| LBN Legal business name | Cronin, Stacia Wilson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Dec 15th, 2021 - about 4 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 | 1215985981 | NPPES |
| California | MEDICAID | 004688020 |
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