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Contact Information

STACIE J NOBLE SHRIVER, MD
ONE HOSPITAL ROAD
OAK BLUFFS, MA02557
 Phone: 508-693-0410
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for STACIE J NOBLE SHRIVER · (Female)

NPI Number 1053318899
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 202501
  • MA Medicaid 0191612
Hospital affiliation(s)
  • FALMOUTH HOSPITAL - (Acute Care)
    67 & 100 TER HEUN DRIVE
    FALMOUTH, MA 02540
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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