Alberson, Stacy Lynn

Alberson, Stacy Lynn is an individual health care provider with primary practice located at 119 West H Ave , North Little Rock AR 72116-8733. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Alberson, Stacy Lynn can be contacted via phone (501) 772-3211.

Contact Information

Primary practice address
119 West H Ave North Little Rock AR 72116-8733
Phone: (501) 772-3211
Fax: (501) 771-7648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR1186 Arkansas

Profile Details

NPI number 1013966936
LBN Legal business name Alberson, Stacy Lynn
Credentials OTR L
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated May 28th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013966936 NPPES
Arkansas MEDICAID 137609721
Arkansas Other 5U469

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