Bly, Stacy

Bly, Stacy is an sole proprietor health care provider with primary practice located at 663 W Grace St , Chicago IL 60613-4026. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bly, Stacy can be contacted via phone (773) 555-5555.

Contact Information

Primary practice address
663 W Grace St Chicago IL 60613-4026
Phone: (773) 555-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 070009463 Illinois

Profile Details

NPI number 1164744652
LBN Legal business name Bly, Stacy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2010
Last updated May 17th, 2010 - about 15 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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