Epps, Stacey L

Epps, Stacey L is an individual health care provider with primary practice located at 11601 Iron Bridge Rd Suite 207, Chester VA 23831-1466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Epps, Stacey L can be contacted via phone (804) 285-6880.

Contact Information

Primary practice address
11601 Iron Bridge Rd Suite 207 Chester VA 23831-1466
Fax: (804) 706-1585
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101058954 Virginia

Profile Details

NPI number 1154391571
LBN Legal business name Epps, Stacey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jun 2nd, 2010 - about 16 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 1154391571 NPPES
Virginia Other C09633 GROUP PTAN
Virginia MEDICAID 010181330 GROUP PTAN

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