Twigg, Stacy

Twigg, Stacy is an individual health care provider with primary practice located at 1827 Harrison Ave , Panama City FL 32405-7605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Twigg, Stacy can be contacted via phone (850) 785-4344.

Contact Information

Primary practice address
1827 Harrison Ave Panama City FL 32405-7605
Fax: (850) 785-6568
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085001809 Illinois

Profile Details

NPI number 1467406512
LBN Legal business name Twigg, Stacy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 1st, 2024 - about 2 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 1467406512 NPPES
Illinois Other 209119 MEDICARE PTAN LOCALITY 16
Illinois Other 209118 MEDICARE PTAN LOCALITY 16

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