Clark, Stacy J

Clark, Stacy J is an individual health care provider with primary practice located at 27107 Tourney Rd , Santa Clarita CA 91355-1860. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clark, Stacy J can be contacted via phone (661) 222-2154.

Contact Information

Primary practice address
27107 Tourney Rd Santa Clarita CA 91355-1860
Phone: (661) 222-2154
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A7457 California

Profile Details

NPI number 1376728048
LBN Legal business name Clark, Stacy J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2007
Last updated Dec 31st, 2007 - about 19 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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