Gittler, Stacy L

Gittler, Stacy L is an individual health care provider with primary practice located at 5855 Bremo Rd Suite 406, Richmond VA 23226-1930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gittler, Stacy L can be contacted via phone (804) 285-4133.

Contact Information

Primary practice address
5855 Bremo Rd Suite 406 Richmond VA 23226-1930
Phone: (804) 285-4133
Fax: (804) 622-2224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA052610 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110002656 Virginia

Profile Details

NPI number 1295743847
LBN Legal business name Gittler, Stacy L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 12th, 2012 - about 14 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 1295743847 NPPES
Virginia Other C06778 GROUP PTAN
Virginia Other C06695 GROUP PTAN

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