Stice, Nathan Daniel

Stice, Nathan Daniel is an individual health care provider with primary practice located at 201 Park St , Bowling Green KY 42101-1759. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Stice, Nathan Daniel can be contacted via phone (270) 781-5111.

Contact Information

Primary practice address
201 Park St Bowling Green KY 42101-1759
Phone: (270) 781-5111
Fax: (270) 780-0466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X TP243 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 43657 Kentucky

Profile Details

NPI number 1639213044
LBN Legal business name Stice, Nathan Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2007
Last updated Nov 14th, 2014 - about 11 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 1639213044 NPPES
Kentucky Other 000000670633 ANTHEM
Kentucky MEDICAID 7100124340 ANTHEM

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