Stacy, Stanley R
Stacy, Stanley R is an individual health care provider with primary practice located at 10106 S Sheridan Rd , Tulsa OK 74133-6775. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Stacy, Stanley R can be contacted via phone (918) 619-9400.Contact Information
Primary practice address
10106 S Sheridan Rd
Tulsa OK 74133-6775
Phone: (918) 619-9400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 3054 | Oklahoma |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 3054 | Oklahoma |
Profile Details
| NPI number | 1225018757 |
|---|---|
| LBN Legal business name | Stacy, Stanley R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225018757 | NPPES |
| Oklahoma | MEDICAID | 100096630A |
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