Houston, Stacey L
Houston, Stacey L is an individual health care provider with primary practice located at 6041 Village Dr Suite 150, Lincoln NE 68516-5774. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Houston, Stacey L can be contacted via phone (402) 423-1900.Contact Information
Primary practice address
6041 Village Dr Suite 150
Lincoln NE 68516-5774
Phone: (402) 423-1900
Fax: (402) 423-5991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22488 | Nebraska |
Profile Details
| NPI number | 1538139761 |
|---|---|
| LBN Legal business name | Houston, Stacey L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Sep 30th, 2009 - about 15 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 | 1538139761 | NPPES |
| Nebraska | MEDICAID | 47081021213 |
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