Stassi, Alyssa Kristine

Stassi, Alyssa Kristine is an sole proprietor health care provider with primary practice located at 16601 N 40Th St Ste 204 , Phoenix AZ 85032-3356. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Stassi, Alyssa Kristine can be contacted via phone (602) 633-3721.

Contact Information

Primary practice address
16601 N 40Th St Ste 204 Phoenix AZ 85032-3356
Phone: (602) 633-3721
Fax: (602) 595-1127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34.011950 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 007597 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 007597 Arizona

Profile Details

NPI number 1831464858
LBN Legal business name Stassi, Alyssa Kristine
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2012
Last updated Oct 21st, 2021 - about 5 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 1831464858 NPPES
Arizona MEDICAID 406897

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