Woods, Stacy Bianca

Woods, Stacy Bianca is an sole proprietor health care provider with primary practice located at 16220 S Frederick Ave Ste 308 , Gaithersburg MD 20877-4020. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Woods, Stacy Bianca can be contacted via phone (301) 840-1077.

Contact Information

Primary practice address
16220 S Frederick Ave Ste 308 Gaithersburg MD 20877-4020
Fax: (301) 948-6199
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D0053572 Maryland

Profile Details

NPI number 1366560286
LBN Legal business name Woods, Stacy Bianca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
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 1366560286 NPPES
Maryland Other 2119312 MAMSI LIFE AND HEALTH

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