Stackley, Sarah

Stackley, Sarah is an individual health care provider with primary practice located at 800 Cove Pkwy , Cottonwood AZ 86326-4644. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Stackley, Sarah can be contacted via phone (928) 649-3003.

Contact Information

Primary practice address
800 Cove Pkwy Cottonwood AZ 86326-4644
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1921 Nebraska
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 010489 Arizona

Profile Details

NPI number 1033560610
LBN Legal business name Stackley, Sarah
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2016
Last updated Sep 27th, 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 1033560610 NPPES
Arizona MEDICAID 133417

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