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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225018757 NPPES
Oklahoma MEDICAID 100096630A

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