Mcstacy, Clair Lea

Mcstacy, Clair Lea is an individual health care provider with primary practice located at 600 Bedford Ave , Bedford VA 24523-1966. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mcstacy, Clair Lea can be contacted via phone (540) 586-7952.

Contact Information

Primary practice address
600 Bedford Ave Bedford VA 24523-1966
Phone: (540) 586-7952
Fax: (540) 586-7950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0001163577 Virginia

Profile Details

NPI number 1972590941
LBN Legal business name Mcstacy, Clair Lea
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Dec 30th, 2010 - about 15 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 1972590941 NPPES
Virginia MEDICAID 010143187
Virginia MEDICAID 010166560

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