Moritz, Stacie L

Moritz, Stacie L is an individual health care provider with primary practice located at 1000 E Rosser Ave , Bismarck ND 58501-4414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moritz, Stacie L can be contacted via phone (701) 530-6000.

Contact Information

Primary practice address
1000 E Rosser Ave Bismarck ND 58501-4414
Phone: (701) 530-6000
Fax: (701) 530-6430
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0285 North Dakota

Profile Details

NPI number 1124075619
LBN Legal business name Moritz, Stacie L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Mar 16th, 2020 - about 4 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 1124075619 NPPES
North Dakota Other P00181243 MEDICARE RAILROAD

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