Marrie, Stacie Micheel
Marrie, Stacie Micheel is an individual health care provider with primary practice located at 1505 W Sherman Ave , Vineland NJ 08360-7059. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Marrie, Stacie Micheel can be contacted via phone (856) 845-0100.Contact Information
Primary practice address
1505 W Sherman Ave
Vineland NJ 08360-7059
Phone: (856) 845-0100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD053971L | Pennsylvania |
Profile Details
| NPI number | 1447280904 |
|---|---|
| LBN Legal business name | Marrie, Stacie Micheel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 12th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447280904 | NPPES |
| Pennsylvania | MEDICAID | 0015178970006 | |
| Pennsylvania | Other | 723351 | |
| Pennsylvania | Other | P006966 | |
| Pennsylvania | Other | 50053515 |
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