Blyth, Stacey
Blyth, Stacey is an individual health care provider with primary practice located at 2630 Willard Dairy Rd Ste 301 , High Point NC 27265-8354. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blyth, Stacey can be contacted via phone (336) 884-3800.Contact Information
Primary practice address
2630 Willard Dairy Rd Ste 301
High Point NC 27265-8354
Phone: (336) 884-3800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200401473 | North Carolina |
Profile Details
| NPI number | 1679553135 |
|---|---|
| LBN Legal business name | Blyth, Stacey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Aug 11th, 2021 - about 5 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 | 1679553135 | NPPES |
| North Carolina | Other | D8827 | MEDCOST |
| North Carolina | MEDICAID | 89138H7 | MEDCOST |
| North Carolina | Other | 138H7 | MEDCOST |
| North Carolina | Other | A19578 | MEDCOST |
| North Carolina | Other | P00222461 | MEDCOST |
| North Carolina | Other | 2478977 | MEDCOST |
| North Carolina | Other | 1366706 | MEDCOST |
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