Little, Stacey Danielle

Little, Stacey Danielle is an individual health care provider with primary practice located at 890 Eastlake Pkwy , Chula Vista CA 91914-4520. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Little, Stacey Danielle can be contacted via phone (619) 761-1574.

Contact Information

Primary practice address
890 Eastlake Pkwy Chula Vista CA 91914-4520
Phone: (619) 761-1574
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA16457 California

Profile Details

NPI number 1831396415
LBN Legal business name Little, Stacey Danielle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated May 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831396415 NPPES
California Other 16457 LIC

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