Danielson, Stacy

Danielson, Stacy is an individual health care provider with primary practice located at 1818 W Fulton St Ste 102 , Rapid City SD 57702-4347. 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. Danielson, Stacy can be contacted via phone (605) 787-1040.

Contact Information

Primary practice address
1818 W Fulton St Ste 102 Rapid City SD 57702-4347
Phone: (605) 787-1040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0996 South Dakota

Profile Details

NPI number 1114395597
LBN Legal business name Danielson, Stacy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2015
Last updated Sep 2nd, 2015 - about 11 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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