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Contact Information

STACEY L BEAN, PA-C
1501 E 10TH ST
ATLANTIC, IA50022-1936
 Phone: 712-243-2850
 Fax: 712-243-7423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STACEY L BEAN · (Female)

NPI Number 1831283092
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/03/2006
Last updated 08/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 001688
  • IA Medicaid 3032763
Hospital affiliation(s)
  • CASS COUNTY MEMORIAL HOSPITAL - (Critical Access)
    1501 EAST TENTH STREET
    ATLANTIC, IA 50022
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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