Dick, Stacye

Dick, Stacye is an sole proprietor health care provider with primary practice located at 14121 Parke Long Ct Suite 200 & 201, Chantilly VA 20151-1647. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Dick, Stacye can be contacted via phone (571) 449-3585.

Contact Information

Primary practice address
14121 Parke Long Ct Suite 200 & 201 Chantilly VA 20151-1647
Phone: (571) 449-3585
Fax: (800) 752-2471
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 256896 Texas

Profile Details

NPI number 1124455118
LBN Legal business name Dick, Stacye
Credentials GNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2013
Last updated Oct 4th, 2013 - about 11 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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