Shadix, Stacey L

Shadix, Stacey L is an individual health care provider with primary practice located at 2865 Chancellor Dr Suite 225, Crestview Hills KY 41017-3912. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shadix, Stacey L can be contacted via phone (859) 341-5400.

Contact Information

Primary practice address
2865 Chancellor Dr Suite 225 Crestview Hills KY 41017-3912
Phone: (859) 341-5400
Fax: (859) 578-3172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50-00-2367 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1136 Kentucky

Profile Details

NPI number 1316015910
LBN Legal business name Shadix, Stacey L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Oct 16th, 2008 - about 18 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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