Boomer, Stacey Noel
Boomer, Stacey Noel is an individual health care provider with primary practice located at 322 W North River Dr , Spokane WA 99201-3208. 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. Boomer, Stacey Noel can be contacted via phone (509) 324-6464.Contact Information
Primary practice address
322 W North River Dr
Spokane WA 99201-3208
Phone: (509) 324-6464
Fax: (509) 241-2056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10005143 | Washington |
Profile Details
| NPI number | 1790835932 |
|---|---|
| LBN Legal business name | Boomer, Stacey Noel |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jan 27th, 2022 - about 4 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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