Dimitt, Stacey
Dimitt, Stacey is an individual health care provider with primary practice located at 1423 E Roosevelt Ave , Grants NM 87020-2245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dimitt, Stacey can be contacted via phone (505) 287-6500.Contact Information
Primary practice address
1423 E Roosevelt Ave
Grants NM 87020-2245
Phone: (505) 287-6500
Fax: (505) 287-5393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7613 | Kansas |
Profile Details
| NPI number | 1508151978 |
|---|---|
| LBN Legal business name | Dimitt, Stacey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2011 |
| Last updated | Sep 2nd, 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.
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