Green, Stacy Robin

Green, Stacy Robin is an sole proprietor health care provider with primary practice located at 825 S Broadway St Ste 100 , Boulder CO 80305-5932. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Green, Stacy Robin can be contacted via phone (303) 717-2521.

Contact Information

Primary practice address
825 S Broadway St Ste 100 Boulder CO 80305-5932
Phone: (303) 717-2521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X DR.0050364 Colorado
Allopathic & Osteopathic Physicians / General Practice 208D00000X DR.0050364 Colorado

Profile Details

NPI number 1558686162
LBN Legal business name Green, Stacy Robin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2010
Last updated Oct 22nd, 2025 - about last year

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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