Elkhatib Smidt, Stacey Diane
Elkhatib Smidt, Stacey Diane is an individual health care provider with primary practice located at 65 James Street Neuroscience Institute, Edison NJ 08820-3947. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Elkhatib Smidt, Stacey Diane can be contacted via phone (732) 321-7010.Contact Information
Primary practice address
65 James Street Neuroscience Institute
Edison NJ 08820-3947
Phone: (732) 321-7010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 25MA10985100 | New Jersey |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 25MA10985100 | New Jersey |
Profile Details
| NPI number | 1891038774 |
|---|---|
| LBN Legal business name | Elkhatib Smidt, Stacey Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2013 |
| Last updated | Nov 12th, 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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