Berner, Stacey Hale
Berner, Stacey Hale is an individual health care provider with primary practice located at 10 Crossroads Dr Suite 210, Owings Mills MD 21117-5458. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Berner, Stacey Hale can be contacted via phone (410) 484-8088.Contact Information
Primary practice address
10 Crossroads Dr Suite 210
Owings Mills MD 21117-5458
Phone: (410) 484-8088
Fax: (410) 581-9485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | D0046117 | Maryland |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101045738 | Virginia |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | C10005022 | Delaware |
Profile Details
| NPI number | 1154339620 |
|---|---|
| LBN Legal business name | Berner, Stacey Hale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Aug 3rd, 2010 - about 16 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 | 1154339620 | NPPES |
| District of Columbia | Other | W5200002 | BLUE SHIELD |
| District of Columbia | MEDICAID | 160631000 | BLUE SHIELD |
| District of Columbia | Other | 53253404 | BLUE SHIELD |
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