Bistodeau, Stacie
Bistodeau, Stacie is an sole proprietor health care provider with primary practice located at 15251 Pleasant Valley Rd , Center City MN 55012-9640. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bistodeau, Stacie can be contacted via phone (800) 257-7800.Contact Information
Primary practice address
15251 Pleasant Valley Rd
Center City MN 55012-9640
Phone: (800) 257-7800
Fax: (651) 213-4547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7513 | Minnesota |
Profile Details
| NPI number | 1740899756 |
|---|---|
| LBN Legal business name | Bistodeau, Stacie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2020 |
| Last updated | Jul 26th, 2020 - about 6 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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