Mcconkey, Stacy A
Mcconkey, Stacy A is an individual health care provider with primary practice located at 15502 Stoneybrook West Pkwy Suite 2-108, Winter Garden FL 34787-4767. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcconkey, Stacy A can be contacted via phone (407) 656-0042.Contact Information
Primary practice address
15502 Stoneybrook West Pkwy Suite 2-108
Winter Garden FL 34787-4767
Phone: (407) 656-0042
Fax: (407) 656-0663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME 113754 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 32386 | Iowa |
Profile Details
| NPI number | 1710972492 |
|---|---|
| LBN Legal business name | Mcconkey, Stacy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Jul 29th, 2013 - about 11 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 | 1710972492 | NPPES |
| Iowa | MEDICAID | 0251819 | |
| Iowa | Other | 43666 |
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