Pault, Stacey

Pault, Stacey is an individual health care provider with primary practice located at 230 E Marydale Ave , Soldotna AK 99669-7648. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Pault, Stacey can be contacted via phone (907) 262-3119.

Contact Information

Primary practice address
230 E Marydale Ave Soldotna AK 99669-7648
Phone: (907) 262-3119
Fax: (907) 262-9290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-3281 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 127937 Alaska

Profile Details

NPI number 1356621643
LBN Legal business name Pault, Stacey
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2011
Last updated Mar 26th, 2021 - about 5 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 1356621643 NPPES
Alaska MEDICAID 1679563

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