Mars, Stacie L
Mars, Stacie L is an individual health care provider with primary practice located at 1310 116Th Ave Ne Suite E, Bellevue WA 98004-3817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Mars, Stacie L can be contacted via phone (425) 250-1145.Contact Information
Primary practice address
1310 116Th Ave Ne Suite E
Bellevue WA 98004-3817
Phone: (425) 250-1145
Fax: (425) 823-6028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00037017 | Washington |
Profile Details
| NPI number | 1083632913 |
|---|---|
| LBN Legal business name | Mars, Stacie L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Feb 2nd, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083632913 | NPPES |
| Washington | MEDICAID | 8263188 |
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