Ostler, Stacy Diane

Ostler, Stacy Diane is an sole proprietor health care provider with primary practice located at 875 E Plaza Dr Ste 103 , Eagle ID 83616-6549. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Ostler, Stacy Diane can be contacted via phone (208) 229-7075.

Contact Information

Primary practice address
875 E Plaza Dr Ste 103 Eagle ID 83616-6549
Phone: (208) 229-7075
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X A68685 California
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X M-9953 Idaho
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X MD00049170 Washington

Profile Details

NPI number 1649242025
LBN Legal business name Ostler, Stacy Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2006
Last updated Apr 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649242025 NPPES
Idaho Other M-9953 IDAHO MEDICAL LICENSE

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