Pamela Jean Stacy in Bloomington - Clinical
Pamela Jean Stacy - NPI 1477521466
Pamela Jean Stacy is a Clinical in Bloomington, Indiana. Pamela Jean Stacy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pamela Jean Stacy is 1477521466. The last update date is 2016-04-28.
Pamela Jean Stacy's current location address is 645 S Rogers St, Bloomington, Indiana. You can contact this provider via phone number 8123391691 and fax number 8123372438. The mailing address for Pamela Jean Stacy is 645 S Rogers St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Jean Stacy |
|---|---|
| Address | 645 S Rogers St, Bloomington, Indiana |
| Phone Number | 8123391691 |
| Fax Number | 8123372438 |
| Sole Proprietor | N |
| Credentials | LCSW, RN |
NPI Number Detail
| NPI Number | 1477521466 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2016-04-28 |
Provider Mailing Address Detail
| Address | 645 S Rogers St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032353 |
| Phone Number | 8123391691 |
| Fax Number | 8123372438 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34006033A |
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What is the unique identification code assigned to Pamela Jean Stacy by the Centers for Medicare & Medicaid Services?
The Pamela Jean Stacy has been issued the NPI (National Provider Identifier) 1477521466. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pamela Jean Stacy located?
The Pamela Jean Stacy is located at 645 S Rogers St, Bloomington, IN 474032353.
What is the Pamela Jean Stacy's area of specialization and corresponding taxonomy classification?
The Pamela Jean Stacy's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Pamela Jean Stacy receive its 1477521466 assignment from the Centers for Medicare & Medicaid Services?
The Pamela Jean Stacy was assigned its 1477521466 on 2006-03-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Pamela Jean Stacy most recently updated?
The details pertaining to the Pamela Jean Stacy, including its address, specialty, and other relevant information, were last refreshed on 2016-04-28.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY