Weil, Stacie

Weil, Stacie is an individual health care provider with primary practice located at 1155 East Mountain Blvd. , Wilkes-Barre PA 18702. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Weil, Stacie can be contacted via phone (570) 808-7916.

Contact Information

Primary practice address
1155 East Mountain Blvd. Wilkes-Barre PA 18702
Phone: (570) 808-7916
Fax: (570) 808-6006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35-086657 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD043404L Pennsylvania
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 35-086657 Ohio

Profile Details

NPI number 1992721799
LBN Legal business name Weil, Stacie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jun 5th, 2015 - about 10 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 1992721799 NPPES
Pennsylvania MEDICAID 0014188520006
Pennsylvania Other 364121
Pennsylvania Other 000000221335
Pennsylvania MEDICAID 2586652
Pennsylvania Other 751026
Pennsylvania Other 000000509189
Pennsylvania Other 4406587

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