Royal, Stacey Y
Royal, Stacey Y is an sole proprietor health care provider with primary practice located at 1106 Ohio River Blvd # 602, Sewickley PA 15143-2048. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Royal, Stacey Y can be contacted via phone (419) 819-0488.Contact Information
Primary practice address
1106 Ohio River Blvd # 602
Sewickley PA 15143-2048
Phone: (419) 819-0488
Fax: (412) 202-5375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35079907R | Ohio |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 35079907R | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301073222 | Michigan |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 4301073222 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD434643 | Pennsylvania |
Profile Details
| NPI number | 1316923824 |
|---|---|
| LBN Legal business name | Royal, Stacey Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Jul 20th, 2009 - about 16 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 | 1316923824 | NPPES |
| Ohio | MEDICAID | 2750876 | |
| Ohio | MEDICAID | 2268139 | |
| Ohio | MEDICAID | 1022588090001 |
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