Stasny, Elaine V

Stasny, Elaine V is an individual health care provider with primary practice located at 97 Sherman Dr St Johnsbury Pediatrics, St Johnsbury VT 05819-9280. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Stasny, Elaine V can be contacted via phone (802) 748-5131.

Contact Information

Primary practice address
97 Sherman Dr St Johnsbury Pediatrics St Johnsbury VT 05819-9280
Phone: (802) 748-5131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042-000778 Vermont
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10695 New Hampshire

Profile Details

NPI number 1639116007
LBN Legal business name Stasny, Elaine V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 9th, 2012 - about 14 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 1639116007 NPPES
New Hampshire MEDICAID 30200431
New Hampshire MEDICAID 0VN2061

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