Green, Stacy Robin

Green, Stacy Robin is an sole proprietor health care provider with primary practice located at 3985 Wonderland Hill Ave Ste 107 , Boulder CO 80304-1038. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, 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
3985 Wonderland Hill Ave Ste 107 Boulder CO 80304-1038
Phone: (303) 717-2521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 50364 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 Jan 27th, 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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