Carter, Stacy Marcum

Carter, Stacy Marcum is an individual health care provider with primary practice located at 800 Rose St Kch 4Th Floor, Suite C400, Lexington KY 40536-7001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Carter, Stacy Marcum can be contacted via phone (859) 323-8651.

Contact Information

Primary practice address
800 Rose St Kch 4Th Floor, Suite C400 Lexington KY 40536-7001
Phone: (859) 323-8651
Fax: (859) 323-8641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2014034200 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3009510 Kentucky

Profile Details

NPI number 1174920029
LBN Legal business name Carter, Stacy Marcum
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2014
Last updated Jan 5th, 2017 - about 9 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 1174920029 NPPES
Indiana MEDICAID 201318580
Indiana MEDICAID 7100368710

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