Bartell, Stacey Lyn
Bartell, Stacey Lyn is an individual health care provider with primary practice located at 210 N Lafayette St , South Lyon MI 48178-2048. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bartell, Stacey Lyn can be contacted via phone (248) 437-1744.Contact Information
Primary practice address
210 N Lafayette St
South Lyon MI 48178-2048
Phone: (248) 437-1744
Fax: (248) 437-3245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301070166 | Michigan |
Profile Details
| NPI number | 1669476933 |
|---|---|
| LBN Legal business name | Bartell, Stacey Lyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Jan 4th, 2018 - about 8 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 | 1669476933 | NPPES |
| Michigan | MEDICAID | 433638510 |
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