Tarango, Stacy Marie

Tarango, Stacy Marie is an sole proprietor health care provider with primary practice located at 101 W 8Th Ave , Spokane WA 99204-2307. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Tarango, Stacy Marie can be contacted via phone (509) 474-3131.

Contact Information

Primary practice address
101 W 8Th Ave Spokane WA 99204-2307
Phone: (509) 474-3131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A105731 California
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD60558747 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60558747 Washington

Profile Details

NPI number 1508018110
LBN Legal business name Tarango, Stacy Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2008
Last updated Sep 23rd, 2015 - about 9 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 1508018110 NPPES
Washington MEDICAID 1508018110

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