Johnson, Stacie L
Johnson, Stacie L is an individual health care provider with primary practice located at 4201 W Medical Center Dr , Mchenry IL 60050-8409. 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. Johnson, Stacie L can be contacted via phone (815) 759-3100.Contact Information
Primary practice address
4201 W Medical Center Dr
Mchenry IL 60050-8409
Phone: (815) 759-3100
Fax: (815) 363-9094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085002273 | Illinois |
Profile Details
| NPI number | 1770696890 |
|---|---|
| LBN Legal business name | Johnson, Stacie L |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | May 5th, 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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