Stacey, Christopher J

Stacey, Christopher J is an individual health care provider with primary practice located at 2940 Squalicum Pkwy #203, Bellingham WA 98225-1892. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Stacey, Christopher J can be contacted via phone (360) 733-0640.

Contact Information

Primary practice address
2940 Squalicum Pkwy #203 Bellingham WA 98225-1892
Phone: (360) 733-0640
Fax: (360) 733-1034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004130 Washington

Profile Details

NPI number 1407959463
LBN Legal business name Stacey, Christopher J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jun 30th, 2010 - about 15 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 1407959463 NPPES
Washington MEDICAID 8353880

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