Slavik, Stacey L

Slavik, Stacey L is an individual health care provider with primary practice located at 301 40Th St , Lubbock TX 79404-2811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Slavik, Stacey L can be contacted via phone (806) 743-9355.

Contact Information

Primary practice address
301 40Th St Lubbock TX 79404-2811
Fax: (806) 743-9363
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 602084 Texas

Profile Details

NPI number 1437122272
LBN Legal business name Slavik, Stacey L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Dec 14th, 2019 - about 5 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 1437122272 NPPES
Texas Other 602084 LICENSE

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