Deiner, Stacie G

Deiner, Stacie G is an individual health care provider with primary practice located at One Medical Center Dr , Lebanon NH 03756-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Deiner, Stacie G can be contacted via phone (603) 650-5922.

Contact Information

Primary practice address
One Medical Center Dr Lebanon NH 03756-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20469 New Hampshire
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2320631 New York

Profile Details

NPI number 1063498129
LBN Legal business name Deiner, Stacie G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jun 18th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063498129 NPPES
New York MEDICAID 02600219

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