Stacey Ellis is a Athletic Trainer in Manassas, Virginia. Stacey Ellis practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Stacey Ellis is 1669438073. The last update date is 2007-07-08.
Stacey Ellis's current location address is 9005 Tudor Ln, Manassas, Virginia. You can contact this provider via phone number 7032578500. The mailing address for Stacey Ellis is 9005 Tudor Ln, Manassas, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Ellis |
|---|---|
| Address | 9005 Tudor Ln, Manassas, Virginia |
| Phone Number | 7032578500 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1669438073 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9005 Tudor Ln |
|---|---|
| City | Manassas |
| State | Virginia (VA) |
| Post Code | 201105754 |
| Phone Number | 7032578500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 126000571 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Stacey Ellis?
The Stacey Ellis has been issued the NPI (National Provider Identifier) 1669438073 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Stacey Ellis is physically located?
The Stacey Ellis is physically situated at the following address: 9005 Tudor Ln, Manassas, VA, 201105754.
What is Stacey Ellis'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 Stacey Ellis is Athletic Trainer, and the taxonomy classification code that categorizes this area of expertise is 2255A2300X.
On what date did Stacey Ellis receive its 1669438073 assignment from the Centers for Medicare & Medicaid Services?
The Stacey Ellis was assigned its 1669438073 on 2006-04-25, 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 Stacey Ellis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stacey Ellis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1962405878
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