Campbell, Stacy Laura

Campbell, Stacy Laura is an individual health care provider with primary practice located at 145 Michigan St Ne Suite 5500, Grand Rapids MI 49503-2562. 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. Campbell, Stacy Laura can be contacted via phone (616) 486-5961.

Contact Information

Primary practice address
145 Michigan St Ne Suite 5500 Grand Rapids MI 49503-2562
Phone: (616) 486-5961
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005866 Michigan

Profile Details

NPI number 1720163918
LBN Legal business name Campbell, Stacy Laura
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jun 1st, 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.

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