Month, Stacy R.

Month, Stacy R. is an individual health care provider with primary practice located at 275 W Macarthur , Oakland CA 94611-5641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Month, Stacy R. can be contacted via phone (510) 752-1000.

Contact Information

Primary practice address
275 W Macarthur Oakland CA 94611-5641
Fax: (510) 752-7478
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X G61440 California

Profile Details

NPI number 1942388731
LBN Legal business name Month, Stacy R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942388731 NPPES
California MEDICAID 00G614400

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