Peterson, Stacy L

Peterson, Stacy L is an sole proprietor health care provider with primary practice located at 818 N Emporia St Suite 305, Wichita KS 67214-3729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Peterson, Stacy L can be contacted via phone (316) 265-1441.

Contact Information

Primary practice address
818 N Emporia St Suite 305 Wichita KS 67214-3729
Phone: (316) 265-1441
Fax: (316) 265-1685
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 0419242 Kansas

Profile Details

NPI number 1316030638
LBN Legal business name Peterson, Stacy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2006
Last updated Jul 8th, 2007 - about 19 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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