Shearen, Stacy Marie
Shearen, Stacy Marie is an individual health care provider with primary practice located at 2418 Enterprise Dr Suite B, Mendota Heights MN 55120-1362. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shearen, Stacy Marie can be contacted via phone (651) 452-2116.Contact Information
Primary practice address
2418 Enterprise Dr Suite B
Mendota Heights MN 55120-1362
Phone: (651) 452-2116
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D12393 | Minnesota |
Profile Details
| NPI number | 1316144603 |
|---|---|
| LBN Legal business name | Shearen, Stacy Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| 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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