Paul, Staci M
Paul, Staci M is an individual health care provider with primary practice located at 635 Innovation Dr Ste 300 , Reno NV 89511-2215. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Paul, Staci M can be contacted via phone (775) 329-6241.Contact Information
Primary practice address
635 Innovation Dr Ste 300
Reno NV 89511-2215
Phone: (775) 329-6241
Fax: (775) 329-4921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 8965 | Nevada |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 8965 | Nevada |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G080176 | California |
Profile Details
| NPI number | 1174528277 |
|---|---|
| LBN Legal business name | Paul, Staci M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Apr 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174528277 | NPPES |
| Nevada | MEDICAID | 002016794 |
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