Mccord, Stacie L
Mccord, Stacie L is an individual health care provider with primary practice located at 415 Rodgers Dr Ste. A, Searcy AR 72143-7434. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mccord, Stacie L can be contacted via phone (501) 380-3297.Contact Information
Primary practice address
415 Rodgers Dr Ste. A
Searcy AR 72143-7434
Phone: (501) 380-3297
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | R1839 | Arkansas |
Profile Details
| NPI number | 1457355166 |
|---|---|
| LBN Legal business name | Mccord, Stacie L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Mar 12th, 2014 - 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 | 1457355166 | NPPES |
| Arkansas | MEDICAID | 154742001 |
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