Myracle, Stephanie D.

Myracle, Stephanie D. is an individual health care provider with primary practice located at 16 Medical Park Drive , Asheville NC 28803. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Myracle, Stephanie D. can be contacted via phone (828) 274-4880.

Contact Information

Primary practice address
16 Medical Park Drive Asheville NC 28803
Fax: (828) 274-6868
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2007-01974 North Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 2007-01974 North Carolina
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 2007-01974 North Carolina

Profile Details

NPI number 1447453402
LBN Legal business name Myracle, Stephanie D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Nov 25th, 2014 - about 10 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 1447453402 NPPES
North Carolina MEDICAID 5918699

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