Tilbury, Stacey Elizabeth

Tilbury, Stacey Elizabeth is an individual health care provider with primary practice located at 18101 Oakwood Blvd Ste 124 , Dearborn MI 48124-4089. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Tilbury, Stacey Elizabeth can be contacted via phone (313) 593-7490.

Contact Information

Primary practice address
18101 Oakwood Blvd Ste 124 Dearborn MI 48124-4089
Phone: (313) 593-7490
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 4704210249 Michigan

Profile Details

NPI number 1407995459
LBN Legal business name Tilbury, Stacey Elizabeth
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 27th, 2022 - about 4 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 1407995459 NPPES
Michigan Other 4704210249 LICENSE

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