Slade, Stacy N

Slade, Stacy N is an individual health care provider with primary practice located at 1225 W Front St , Traverse City MI 49684-2368. 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. Slade, Stacy N can be contacted via phone (231) 935-0788.

Contact Information

Primary practice address
1225 W Front St Traverse City MI 49684-2368
Phone: (231) 935-0788
Fax: (231) 935-0787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004319 Michigan

Profile Details

NPI number 1265459267
LBN Legal business name Slade, Stacy N
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Sep 1st, 2014 - about 10 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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