Phelps, Stacey
Phelps, Stacey is an sole proprietor health care provider with primary practice located at 2500 Milvia St Ste 218 , Berkeley CA 94704-2636. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Phelps, Stacey can be contacted via phone (510) 848-7070.Contact Information
Primary practice address
2500 Milvia St Ste 218
Berkeley CA 94704-2636
Phone: (510) 848-7070
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 20352 | California |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
NPI number | 1528396868 |
---|---|
LBN Legal business name | Phelps, Stacey |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 24th, 2009 |
Last updated | Nov 24th, 2009 - about 15 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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