Active NPIIndividual providerSole proprietor

Stacy Camp

Specialist/Technologist, Other in Berlin, Connecticut

NPI Number1679389258
Practice location
369 New Britain RD Ste C, Berlin, CT 06037-1351
Fax
—
Last updated
December 9, 2024

Stacy Camp is a Specialist/Technologist, Other based in Berlin, CT. Stacy Camp practices in Berlin, CT. The NPI Number for Stacy Camp is 1679389258 and holds a License No. 612 (CT). The current practice location address for Stacy Camp is 369 New Britain RD Ste C, Berlin, CT 06037-1351 and can be reached out via phone at 860-543-0618.

Provider Profile Details

NPI Number
1679389258
Provider Name
Stacy Camp
Provider Entity Type
Individual
Gender
Female
Address
369 New Britain RD Ste C, Berlin, CT 06037-1351
Phone Number
860-543-0618
Primary Taxonomy
Specialist/Technologist, Other · 246Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 9, 2024
Last Update Date
December 9, 2024
Certification Date
December 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
369 New Britain RD Ste C
Berlin, CT 06037-1351
City
Berlin
Zip
06037-1351
Phone Number
860-543-0618
Berlin, CT 06037Get directions →

Provider Business Mailing Address Details

Address
46 N Airline RD
Wallingford, CT 06492-2643
City
Wallingford
State
CT
Zip
06492-2643
Phone Number
203-518-2492

License Information

License Number
612
License State
CT
Taxonomy
Specialist/Technologist, Other · 246Z00000X · 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 Stacy Camp?

The NPI number of Stacy Camp is 1679389258. It was assigned on December 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Stacy Camp?

Stacy Camp is registered under the primary taxonomy Specialist/Technologist, Other (code 246Z00000X), licensed in CT under license number 612.

Where does Stacy Camp practice?

The practice location is 369 New Britain RD Ste C, Berlin, CT 06037-1351. The office can be reached at 860-543-0618 (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 1679389258 directly on the NPPES registry website.

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