Mckeon, Staci Elaine
Mckeon, Staci Elaine is an individual health care provider with primary practice located at 1000 Langworthy St , Dubuque IA 52001-7313. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mckeon, Staci Elaine can be contacted via phone (563) 584-3455.Contact Information
Primary practice address
1000 Langworthy St
Dubuque IA 52001-7313
Phone: (563) 584-3455
Fax: (563) 584-3177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 36023 | Iowa |
Profile Details
| NPI number | 1346293768 |
|---|---|
| LBN Legal business name | Mckeon, Staci Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jan 12th, 2011 - about 14 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 | 1346293768 | NPPES |
| Iowa | MEDICAID | 0469742 |
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