Beckett, Stacie Leigh

Beckett, Stacie Leigh is an individual health care provider with primary practice located at 859 Alderson St , Williamson WV 25661-3215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Beckett, Stacie Leigh can be contacted via phone (304) 235-2500.

Contact Information

Primary practice address
859 Alderson St Williamson WV 25661-3215
Phone: (304) 235-2500
Fax: (304) 235-4549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X WV00960 West Virginia

Profile Details

NPI number 1912077645
LBN Legal business name Beckett, Stacie Leigh
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Aug 27th, 2008 - about 18 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 1912077645 NPPES
Kentucky MEDICAID 95003679

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