Herman, Stacy Lane

Herman, Stacy Lane is an individual health care provider with primary practice located at 680 Centre St , Brockton MA 02302-3308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Herman, Stacy Lane can be contacted via phone (508) 941-7193.

Contact Information

Primary practice address
680 Centre St Brockton MA 02302-3308
Phone: (508) 941-7193
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AP 970 Massachusetts

Profile Details

NPI number 1457482895
LBN Legal business name Herman, Stacy Lane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated May 1st, 2013 - about 12 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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