Woodruff, Stacey Lynne
Woodruff, Stacey Lynne is an individual health care provider with primary practice located at 1329 Lusitana St Suite 703, Honolulu HI 96813-2429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Woodruff, Stacey Lynne can be contacted via phone (808) 526-2477.Contact Information
Primary practice address
1329 Lusitana St Suite 703
Honolulu HI 96813-2429
Phone: (808) 526-2477
Fax: (808) 528-3671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD-17258 | Hawaii |
Profile Details
| NPI number | 1598969388 |
|---|---|
| LBN Legal business name | Woodruff, Stacey Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Sep 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598969388 | NPPES |
| Hawaii | Other | MD-17258 | HAWAII MEDICAL LICENSE |
| Hawaii | Other | M9748 | HAWAII MEDICAL LICENSE |
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