Roberts, Stacey S
Roberts, Stacey S is an individual health care provider with primary practice located at 1378 Nw 124Th St Suite 200, Clive IA 50325-8151. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Roberts, Stacey S can be contacted via phone (515) 288-6097.Contact Information
Primary practice address
1378 Nw 124Th St Suite 200
Clive IA 50325-8151
Phone: (515) 288-6097
Fax: (515) 288-6099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 34960 | Iowa |
Profile Details
| NPI number | 1912965146 |
|---|---|
| LBN Legal business name | Roberts, Stacey S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | May 6th, 2015 - about 11 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 | 1912965146 | NPPES |
| Iowa | MEDICAID | 0293779 |
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