Shaw, Stacy Shane

Shaw, Stacy Shane is an individual health care provider with primary practice located at 725 North St , Pittsfield MA 01201-4109. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Shaw, Stacy Shane can be contacted via phone (413) 447-2000.

Contact Information

Primary practice address
725 North St Pittsfield MA 01201-4109
Phone: (413) 447-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1770185225
LBN Legal business name Shaw, Stacy Shane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2020
Last updated Nov 10th, 2020 - about 6 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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