Fuller Baecker, Stacy

Fuller Baecker, Stacy is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Fuller Baecker, Stacy can be contacted via phone (619) 543-6886.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9000
Phone: (619) 543-6886
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1089187 California

Profile Details

NPI number 1043543473
LBN Legal business name Fuller Baecker, Stacy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2009
Last updated Feb 3rd, 2023 - about 3 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.

Request for update

Popular Providers