Stacey, Michael

Stacey, Michael is an individual health care provider with primary practice located at 275 Beck Ave Ms 5-240, Fairfield CA 94533-6804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stacey, Michael can be contacted via phone (707) 784-8600.

Contact Information

Primary practice address
275 Beck Ave Ms 5-240 Fairfield CA 94533-6804
Phone: (707) 784-8600
Fax: (707) 421-6618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01057967A Indiana

Profile Details

NPI number 1336120344
LBN Legal business name Stacey, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 20th, 2008 - about 16 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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