Schulz, Stacy Norman

Schulz, Stacy Norman is an individual health care provider with primary practice located at 212 Carlanna Lake Rd Ste 201 Box 6755, Ketchikan AK 99901-5642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Schulz, Stacy Norman can be contacted via phone (907) 247-3301.

Contact Information

Primary practice address
212 Carlanna Lake Rd Ste 201 Box 6755 Ketchikan AK 99901-5642
Phone: (907) 247-3301
Fax: (907) 247-3306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2604 Alaska

Profile Details

NPI number 1851303903
LBN Legal business name Schulz, Stacy Norman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Oct 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851303903 NPPES
Alaska Other 2604 STATE MD LICENSE
Alaska MEDICAID MD13202 STATE MD LICENSE

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