Prall, Stacy G
Prall, Stacy G is an sole proprietor health care provider with primary practice located at 700 High St , Williamsport PA 17701-3100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Prall, Stacy G can be contacted via phone (570) 321-3454.Contact Information
Primary practice address
700 High St
Williamsport PA 17701-3100
Phone: (570) 321-3454
Fax: (570) 321-3455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | OS014965 | Pennsylvania |
Profile Details
| NPI number | 1437207685 |
|---|---|
| LBN Legal business name | Prall, Stacy G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2007 |
| Last updated | Sep 29th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437207685 | NPPES |
| New Hampshire | MEDICAID | 30226039 |
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