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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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 | 1730548363 | NPPES |
| Ohio | MEDICAID | 0379036 |
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