Rivers, Stacia A

Rivers, Stacia A is an individual health care provider with primary practice located at 2165 White Bear Ave - Mail Stop 31600A Healthpartners Maplewood Clinic, Maplewood MN 55109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rivers, Stacia A can be contacted via phone (651) 523-9800.

Contact Information

Primary practice address
2165 White Bear Ave - Mail Stop 31600A Healthpartners Maplewood Clinic Maplewood MN 55109
Phone: (651) 523-9800
Fax: (651) 523-9801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 46839 Minnesota

Profile Details

NPI number 1467569632
LBN Legal business name Rivers, Stacia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Aug 22nd, 2018 - about 7 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 1467569632 NPPES
Iowa MEDICAID 0450916

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