Allen, Stacey Lynn

Allen, Stacey Lynn is an sole proprietor health care provider with primary practice located at 950 Boardwalk Ste. 304, San Marcos CA 92078-2600. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Allen, Stacey Lynn can be contacted via phone (760) 613-4363.

Contact Information

Primary practice address
950 Boardwalk Ste. 304 San Marcos CA 92078-2600
Phone: (760) 613-4363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 5378 California

Profile Details

NPI number 1780943886
LBN Legal business name Allen, Stacey Lynn
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2012
Last updated May 9th, 2012 - about 12 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 1780943886 NPPES
California Other 12363328 CAQH
California Other 5378 CAQH
California Other 967160 CAQH

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