Weiland, Stacey A

Weiland, Stacey A is an individual health care provider with primary practice located at 25 Monument Rd Suite 250, York PA 17403-5060. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Weiland, Stacey A can be contacted via phone (717) 741-9344.

Contact Information

Primary practice address
25 Monument Rd Suite 250 York PA 17403-5060
Fax: (717) 741-9633
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD072946L Pennsylvania

Profile Details

NPI number 1649279746
LBN Legal business name Weiland, Stacey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 8th, 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 1649279746 NPPES
Pennsylvania MEDICAID 0018597030002

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