Addison, Stacy

Addison, Stacy is an sole proprietor health care provider with primary practice located at 920 W Broadway St , Hobbs NM 88240-5529. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Addison, Stacy can be contacted via phone (575) 393-3168.

Contact Information

Primary practice address
920 W Broadway St Hobbs NM 88240-5529
Fax: (575) 397-4659
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1235467960
LBN Legal business name Addison, Stacy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2009
Last updated Nov 18th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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