Tarvin, Stacey Elaine
Tarvin, Stacey Elaine is an sole proprietor health care provider with primary practice located at 699 Riley Hospital Dr , Indianapolis IN 46202-5119. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. Tarvin, Stacey Elaine can be contacted via phone (317) 274-2172.Contact Information
Primary practice address
699 Riley Hospital Dr
Indianapolis IN 46202-5119
Phone: (317) 274-2172
Fax: (317) 278-3031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | 01064302 | Indiana |
Profile Details
| NPI number | 1639380769 |
|---|---|
| LBN Legal business name | Tarvin, Stacey Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | Nov 19th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639380769 | NPPES |
| Indiana | MEDICAID | 201035650 |
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