Gump, Stacie D

Gump, Stacie D is an individual health care provider with primary practice located at 2838 Pike Street Wvu Medicine Patriot Pointe Camden Clark Physici Corpor, Parkersburg WV 26101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gump, Stacie D can be contacted via phone (304) 865-5070.

Contact Information

Primary practice address
2838 Pike Street Wvu Medicine Patriot Pointe Camden Clark Physici Corpor Parkersburg WV 26101
Phone: (304) 865-5070
Fax: (304) 489-4250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0060181 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25319 West Virginia

Profile Details

NPI number 1194717041
LBN Legal business name Gump, Stacie D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Apr 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194717041 NPPES
Maryland MEDICAID 402740000

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