Stacey, Amy

Stacey, Amy is an individual health care provider with primary practice located at 4700 Las Vegas Blvd N Bldg 1300 , Nellis Afb NV 89191-6600. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Stacey, Amy can be contacted via phone (702) 653-2273.

Contact Information

Primary practice address
4700 Las Vegas Blvd N Bldg 1300 Nellis Afb NV 89191-6600
Phone: (702) 653-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34.013920 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 34.013920 Ohio

Profile Details

NPI number 1730548363
LBN Legal business name Stacey, Amy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2016
Last updated Aug 1st, 2023 - about 2 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 1730548363 NPPES
Ohio MEDICAID 0379036

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