Engel, Stacey Michelle
Engel, Stacey Michelle is an individual health care provider with primary practice located at 821 N State Road 135 , Greenwood IN 46142-1314. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Engel, Stacey Michelle can be contacted via phone (317) 560-4300.Contact Information
Primary practice address
821 N State Road 135
Greenwood IN 46142-1314
Phone: (317) 560-4300
Fax: (317) 530-9084
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 28180686A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 28180686A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 28180686A | Indiana |
Profile Details
NPI number | 1871900498 |
---|---|
LBN Legal business name | Engel, Stacey Michelle |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2014 |
Last updated | Mar 30th, 2019 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871900498 | NPPES |
Indiana | Other | P01678705 | RR PTAN |
Indiana | MEDICAID | 201253850 | RR PTAN |
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