Grossfeld, Stacie
Grossfeld, Stacie is an individual health care provider with primary practice located at 4001 Kresge Way Ste 330, Louisville KY 40207-4640. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Grossfeld, Stacie can be contacted via phone (502) 212-2663.Contact Information
Primary practice address
4001 Kresge Way Ste 330
Louisville KY 40207-4640
Phone: (502) 212-2663
Fax: (502) 212-2004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 33575 | Kentucky |
Profile Details
| NPI number | 1710980842 |
|---|---|
| LBN Legal business name | Grossfeld, Stacie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Sep 14th, 2011 - about 14 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 | 1710980842 | NPPES |
| Kentucky | Other | 1299470001 | PTAN |
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