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Contact Information

STACY TAN
535 CLINIC RD E
BOX ELDER, MT59521-8826
 Phone: 406-395-4395
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Vocational Nurse

164X00000X
Indicates primary specialty

NPI Profile & details for STACY TAN · (Female)

NPI Number 1982057980
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2016
Last updated 07/14/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 217537
Hospital affiliation(s) Not Available
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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