Brandt, Stacy Marie

Brandt, Stacy Marie is an individual health care provider with primary practice located at 1038 Market St , Wheeling WV 26003-2912. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Brandt, Stacy Marie can be contacted via phone (304) 232-7151.

Contact Information

Primary practice address
1038 Market St Wheeling WV 26003-2912
Phone: (304) 232-7151
Fax: (304) 232-6128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 01010 West Virginia

Profile Details

NPI number 1699781120
LBN Legal business name Brandt, Stacy Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699781120 NPPES
West Virginia Other P00112121 RAILROAD MEDICARE

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