Stacey, Joanna

Stacey, Joanna is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-4404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Stacey, Joanna can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-4404
Phone: (254) 724-2111
Fax: (254) 724-7603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X N1904 Texas

Profile Details

NPI number 1093781569
LBN Legal business name Stacey, Joanna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Oct 30th, 2020 - 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 1093781569 NPPES
Virginia MEDICAID 010079128
Virginia MEDICAID 010079136
Virginia MEDICAID 1093781569

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