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NPI Code Detail

MEDICARE: STACEY DROLL BAS, CD (DONA)

MEDICARE: STACEY DROLL BAS, CD (DONA)
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula

General Provider Information

NPI Number : 1740125186
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY DROLL BAS, CD (DONA)
Provider Business Mailing Address
First Line : 109 CALIFORNIA ST
Second Line : PO BOX 577
City : CARTERVILLE
State : IL
Zip : 62918
Country : US
Telephone Number : 618-519-9200
Fax Number :
Provider Business Practice Location Address
First Line : 101 S WALL ST
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-3021
Country : US
Telephone Number : 618-519-9200
Fax Number : 618-519-9404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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