Mayer, Staci
Mayer, Staci is an individual health care provider with primary practice located at 1661 E Camelback Rd Suite 160, Phoenix AZ 85016-3911. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mayer, Staci can be contacted via phone (602) 241-1671.Contact Information
Primary practice address
1661 E Camelback Rd Suite 160
Phoenix AZ 85016-3911
Phone: (602) 241-1671
Fax: (602) 274-6181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 27225 | Arizona |
Profile Details
| NPI number | 1336144526 |
|---|---|
| LBN Legal business name | Mayer, Staci |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Mar 19th, 2015 - about 10 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 | 1336144526 | NPPES |
| Arizona | MEDICAID | 520397 |
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