Edgar, Stacy Blake

Edgar, Stacy Blake is an sole proprietor health care provider with primary practice located at 800 Pike St Ste 2 Express Care Marietta, Marietta OH 45750-3507. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Edgar, Stacy Blake can be contacted via phone (740) 373-3960.

Contact Information

Primary practice address
800 Pike St Ste 2 Express Care Marietta Marietta OH 45750-3507
Phone: (740) 373-3960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3013 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110007485 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10002314A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.007774RX Ohio

Profile Details

NPI number 1396254009
LBN Legal business name Edgar, Stacy Blake
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2017
Last updated Dec 6th, 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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