Beaty, Stacy
Beaty, Stacy is an individual health care provider with primary practice located at 1755 S Grand , St Louis MO 63104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Beaty, Stacy can be contacted via phone (314) 256-3433.Contact Information
Primary practice address
1755 S Grand
St Louis MO 63104
Phone: (314) 256-3433
Fax: (314) 256-3431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2005004429 | Missouri |
Profile Details
| NPI number | 1669499638 |
|---|---|
| LBN Legal business name | Beaty, Stacy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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