Stacy, Peter John

Stacy, Peter John is an individual health care provider with primary practice located at 2555 University Dr , Fairborn OH 45324-6255. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Stacy, Peter John can be contacted via phone (937) 775-8148.

Contact Information

Primary practice address
2555 University Dr Fairborn OH 45324-6255
Phone: (937) 775-8148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 58.031688 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2022038659 Missouri

Profile Details

NPI number 1467089888
LBN Legal business name Stacy, Peter John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2020
Last updated Mar 7th, 2023 - about last year

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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