Gill, Stacie Suzanne

Gill, Stacie Suzanne is an individual health care provider with primary practice located at 2410 S Queen St , York PA 17402-4941. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Gill, Stacie Suzanne can be contacted via phone (717) 718-5511.

Contact Information

Primary practice address
2410 S Queen St York PA 17402-4941
Phone: (717) 718-5511
Fax: (717) 718-0660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC005723 Pennsylvania

Profile Details

NPI number 1487676235
LBN Legal business name Gill, Stacie Suzanne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 12th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487676235 NPPES
Other 50043518 CAPITOL BLUE CROSS

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