Tebbe, Stacey
Tebbe, Stacey is an individual health care provider with primary practice located at 101 Coles Centre Dr , Mattoon IL 61938-9314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tebbe, Stacey can be contacted via phone (217) 234-5110.Contact Information
Primary practice address
101 Coles Centre Dr
Mattoon IL 61938-9314
Phone: (217) 234-5110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209020253 | Illinois |
Profile Details
| NPI number | 1073158119 |
|---|---|
| LBN Legal business name | Tebbe, Stacey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2019 |
| Last updated | Oct 29th, 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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