Sjoberg, Stacy A

Sjoberg, Stacy A is an individual health care provider with primary practice located at 1 3Rd Ave Ne , Crosby MN 56441-1665. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Sjoberg, Stacy A can be contacted via phone (218) 546-5108.

Contact Information

Primary practice address
1 3Rd Ave Ne Crosby MN 56441-1665
Phone: (218) 546-5108
Fax: (218) 546-5736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 47570 Minnesota

Profile Details

NPI number 1275584815
LBN Legal business name Sjoberg, Stacy A
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 12th, 2013 - about 13 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 1275584815 NPPES
Minnesota MEDICAID 014957800
Minnesota Other 310G3SJ
Minnesota Other P00235993
Minnesota Other 0801285

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