Nieder, Stacey R

Nieder, Stacey R is an individual health care provider with primary practice located at 2741 Debarr Rd Ste 307 , Anchorage AK 99508-2972. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Nieder, Stacey R can be contacted via phone (907) 777-1850.

Contact Information

Primary practice address
2741 Debarr Rd Ste 307 Anchorage AK 99508-2972
Phone: (907) 777-1850
Fax: (855) 468-1357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4552 Alaska

Profile Details

NPI number 1013989797
LBN Legal business name Nieder, Stacey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Nov 15th, 2024 - about 2 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 1013989797 NPPES
Alaska Other 152556 MCARE GROUP #
Alaska MEDICAID MD6185 MCARE GROUP #

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