Hamilton, Stacey

Hamilton, Stacey is an individual health care provider with primary practice located at 1108 Lavaca St Suite 110-320, Austin TX 78701-2172. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Hamilton, Stacey can be contacted via phone (512) 477-4088.

Contact Information

Primary practice address
1108 Lavaca St Suite 110-320 Austin TX 78701-2172
Phone: (512) 477-4088
Fax: (512) 482-0390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 512782 Texas

Profile Details

NPI number 1801810767
LBN Legal business name Hamilton, Stacey
Credentials RN,GNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated May 24th, 2011 - about 13 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 1801810767 NPPES
Texas Other 500028186 MEDICARE RAILROAD
Texas MEDICAID 044330102 MEDICARE RAILROAD
Texas Other 84P274 MEDICARE RAILROAD

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