Brandenburg, Stacia E.

Brandenburg, Stacia E. is an individual health care provider with primary practice located at 25500 Point Lookout Rd , Leonardtown MD 20650-2015. 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. Brandenburg, Stacia E. can be contacted via phone (240) 826-7550.

Contact Information

Primary practice address
25500 Point Lookout Rd Leonardtown MD 20650-2015
Phone: (240) 826-7550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA21790 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0005910 Maryland

Profile Details

NPI number 1063793222
LBN Legal business name Brandenburg, Stacia E.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2011
Last updated Dec 11th, 2018 - about 7 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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