Ellis, Stacy Luann
Ellis, Stacy Luann is an sole proprietor health care provider with primary practice located at 448 36Th Ave Nw Ste 101 , Norman OK 73072-4743. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ellis, Stacy Luann can be contacted via phone (405) 573-9905.Contact Information
Primary practice address
448 36Th Ave Nw Ste 101
Norman OK 73072-4743
Phone: (405) 573-9905
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 15-01282 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1724 | Oklahoma |
Profile Details
| NPI number | 1548448087 |
|---|---|
| LBN Legal business name | Ellis, Stacy Luann |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2008 |
| Last updated | Jan 27th, 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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