Shimanek, Stacia Kristine
Shimanek, Stacia Kristine is an individual health care provider with primary practice located at 200 Commons Way Ste B , Kalispell MT 59901-1915. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shimanek, Stacia Kristine can be contacted via phone (406) 752-5170.Contact Information
Primary practice address
200 Commons Way Ste B
Kalispell MT 59901-1915
Phone: (406) 752-5170
Fax: (406) 752-5210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2019-0026 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MED-PAC-LIC-113123 | Montana |
Profile Details
| NPI number | 1437429388 |
|---|---|
| LBN Legal business name | Shimanek, Stacia Kristine |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2012 |
| Last updated | Feb 19th, 2024 - about 9 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 | 1437429388 | NPPES |
| Texas | Other | 869N70 | BCBSTX |
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