Harbin, Stacy L

Harbin, Stacy L is an individual health care provider with primary practice located at 3871 E Highway 98 Ste 200 , Port St Joe FL 32456-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Harbin, Stacy L can be contacted via phone (850) 229-5833.

Contact Information

Primary practice address
3871 E Highway 98 Ste 200 Port St Joe FL 32456-5302
Phone: (850) 229-5833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 31761 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X ME108578 Florida

Profile Details

NPI number 1275639254
LBN Legal business name Harbin, Stacy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 27th, 2021 - about 4 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 1275639254 NPPES
Other 000000329454 BCBS PROVIDER NUMBER
Other 31761 BCBS PROVIDER NUMBER
MEDICAID 64317613 BCBS PROVIDER NUMBER
Other ME108578 BCBS PROVIDER NUMBER

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