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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184615494 NPPES
California MEDICAID 0G796890
California Other 00G796890

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