Hull, Stacy S.

Hull, Stacy S. is an individual health care provider with primary practice located at 9201 Big Horn Blvd , Elk Grove CA 95758-1240. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hull, Stacy S. can be contacted via phone (916) 478-5000.

Contact Information

Primary practice address
9201 Big Horn Blvd Elk Grove CA 95758-1240
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G83123 California

Profile Details

NPI number 1639257355
LBN Legal business name Hull, Stacy S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 6th, 2021 - 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 1639257355 NPPES
California MEDICAID 00G831230

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