Eadie, Stacey Laurine

Eadie, Stacey Laurine is an sole proprietor health care provider with primary practice located at 1105 N Point Blvd Suite 306, Baltimore MD 21224-3419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Eadie, Stacey Laurine can be contacted via phone (410) 285-5437.

Contact Information

Primary practice address
1105 N Point Blvd Suite 306 Baltimore MD 21224-3419
Phone: (410) 285-5437
Fax: (410) 285-7333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X H0061035 Maryland

Profile Details

NPI number 1700853249
LBN Legal business name Eadie, Stacey Laurine
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Nov 5th, 2014 - about 12 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 1700853249 NPPES
Maryland Other 001285800 MEDICAL ASSISTANCE

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