Prescott, Stacy Lynn
Prescott, Stacy Lynn is an individual health care provider with primary practice located at 2635 N 7Th St , Grand Junction CO 81501-8209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Prescott, Stacy Lynn can be contacted via phone (970) 298-2551.Contact Information
Primary practice address
2635 N 7Th St
Grand Junction CO 81501-8209
Phone: (970) 298-2551
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G79689 | California |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 44622 | Colorado |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD2014-0253 | New Mexico |
Profile Details
NPI number | 1184615494 |
---|---|
LBN Legal business name | Prescott, Stacy Lynn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 4th, 2005 |
Last updated | Feb 16th, 2024 - about 7 months 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 | 1184615494 | NPPES |
California | MEDICAID | 0G796890 | |
California | Other | 00G796890 |
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