Active NPIIndividual providerSole proprietor

Stacey Edgar, SLS

Specialist/Technologist in Manchester, New Hampshire

NPI Number1073135885
Practice location
112 Reservoir Ave, Manchester, NH 03104-4468
Fax
—
Last updated
May 14, 2020

Stacey Edgar is a Specialist/Technologist based in Manchester, NH. Stacey Edgar practices in Manchester, NH and has the professional credentials of SLS. The NPI Number for Stacey Edgar is 1073135885 and holds a License No. 71891 (NH). The current practice location address for Stacey Edgar is 112 Reservoir Ave, Manchester, NH 03104-4468 and can be reached out via phone at 603-624-6352.

Provider Profile Details

NPI Number
1073135885
Provider Name
Stacey Edgar
Credential
SLS
Provider Entity Type
Individual
Gender
Female
Address
112 Reservoir Ave, Manchester, NH 03104-4468
Phone Number
603-624-6352
Primary Taxonomy
Specialist/Technologist · 235500000X
Sole Proprietor
Yes
Provider Enumeration Date
May 14, 2020
Last Update Date
May 14, 2020
Certification Date
May 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
112 Reservoir Ave
Manchester, NH 03104-4468
Zip
03104-4468
Phone Number
603-624-6352
Manchester, NH 03104Get directions →

Provider Business Mailing Address Details

Address
20 Hecker St
Manchester, NH 03102-3975
City
Manchester
State
NH
Zip
03102-3975
Phone Number
603-624-3600

License Information

License Number
71891
License State
NH
Taxonomy
Specialist/Technologist · 235500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacey Edgar, SLS?

The NPI number of Stacey Edgar, SLS is 1073135885. It was assigned on May 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Stacey Edgar, SLS?

Stacey Edgar, SLS is registered under the primary taxonomy Specialist/Technologist (code 235500000X), licensed in NH under license number 71891.

Where does Stacey Edgar, SLS practice?

The practice location is 112 Reservoir Ave, Manchester, NH 03104-4468. The office can be reached at 603-624-6352 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073135885 directly on the NPPES registry website.

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