Stewart, Staci K

Stewart, Staci K is an individual health care provider with primary practice located at 1 Stadium Drive , Morgantown WV 26506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Stewart, Staci K can be contacted via phone (304) 598-4800.

Contact Information

Primary practice address
1 Stadium Drive Morgantown WV 26506
Phone: (304) 598-4800
Fax: (304) 293-6963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 20494 West Virginia

Profile Details

NPI number 1861566440
LBN Legal business name Stewart, Staci K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Nov 16th, 2007 - about 17 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 1861566440 NPPES
West Virginia Other P00387350 RAILROAD MEDICARE
West Virginia MEDICAID 1806077000 RAILROAD MEDICARE

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