Bulfinch Idica, Stacey Anne

Bulfinch Idica, Stacey Anne is an individual health care provider with primary practice located at 216 Edgefield Ave Nw , Aiken SC 29801-3910. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bulfinch Idica, Stacey Anne can be contacted via phone (803) 648-4224.

Contact Information

Primary practice address
216 Edgefield Ave Nw Aiken SC 29801-3910
Phone: (803) 648-4224
Fax: (803) 641-7600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 18150 South Carolina

Profile Details

NPI number 1326381294
LBN Legal business name Bulfinch Idica, Stacey Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2013
Last updated Apr 30th, 2019 - 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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