Stacy, George Peter

Stacy, George Peter is an individual health care provider with primary practice located at 6420 Dutchmans Pkwy Ste 200 , Louisville KY 40205-3373. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Stacy, George Peter can be contacted via phone (502) 891-8300.

Contact Information

Primary practice address
6420 Dutchmans Pkwy Ste 200 Louisville KY 40205-3373
Phone: (502) 891-8300
Fax: (502) 891-8338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 28751 Kentucky

Profile Details

NPI number 1669471066
LBN Legal business name Stacy, George Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 21st, 2022 - 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 1669471066 NPPES
Kentucky MEDICAID 64287519

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