Williamson, Stacey Anne
Williamson, Stacey Anne is an individual health care provider with primary practice located at 4760 Fashion Square Blvd Ste L-1 , Saginaw MI 48604-2620. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Williamson, Stacey Anne can be contacted via phone (989) 282-4003.Contact Information
Primary practice address
4760 Fashion Square Blvd Ste L-1
Saginaw MI 48604-2620
Phone: (989) 282-4003
Fax: (888) 491-7220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 69512 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN.369896 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA.13045-NP | Ohio |
Profile Details
| NPI number | 1548528086 |
|---|---|
| LBN Legal business name | Williamson, Stacey Anne |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2012 |
| Last updated | Mar 15th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548528086 | NPPES |
| Ohio | MEDICAID | 0112055 | |
| Ohio | MEDICAID | 3810028149 |
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