Stacy Nicole Goodpaster in Dearborn Heights - Clinical
Stacy Nicole Goodpaster - NPI 1619016672
Stacy Nicole Goodpaster is a Clinical in Dearborn Heights, Michigan. Stacy Nicole Goodpaster practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacy Nicole Goodpaster is 1619016672. The last update date is 2019-09-23.
Stacy Nicole Goodpaster's current location address is 5408 Huron St, Dearborn Heights, Michigan. You can contact this provider via phone number 7343293727. The mailing address for Stacy Nicole Goodpaster is 5408 Huron St, Dearborn Heights, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Nicole Goodpaster |
|---|---|
| Address | 5408 Huron St, Dearborn Heights, Michigan |
| Phone Number | 7343293727 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1619016672 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2019-09-23 |
Provider Mailing Address Detail
| Address | 5408 Huron St |
|---|---|
| City | Dearborn Heights |
| State | Michigan (MI) |
| Post Code | 481252928 |
| Phone Number | 7343293727 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801104179 |
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What is the unique 10-digit identification code issued to Stacy Nicole Goodpaster by the Centers for Medicare & Medicaid Services?
The Stacy Nicole Goodpaster has been assigned the NPI (National Provider Identifier) 1619016672 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Stacy Nicole Goodpaster's facilities are situated?
The facilities of Stacy Nicole Goodpaster are physically located at the following address: 5408 Huron St, Dearborn Heights, MI, 481252928.
What is Stacy Nicole Goodpaster's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stacy Nicole Goodpaster is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Stacy Nicole Goodpaster receive the assignment of its 1619016672 from the Centers for Medicare & Medicaid Services?
The Stacy Nicole Goodpaster was issued its 1619016672 by the Centers for Medicare & Medicaid Services on 2007-02-06.
When was the information regarding Stacy Nicole Goodpaster, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stacy Nicole Goodpaster, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-09-23.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY