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
Fax: (808) 528-3671
Website:

Health care specialties

SpecialtyCodeLicense #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 10 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 1598969388 NPPES
Hawaii Other MD-17258 HAWAII MEDICAL LICENSE
Hawaii Other M9748 HAWAII MEDICAL LICENSE

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