Bowie, Staci Nicole

Bowie, Staci Nicole is an sole proprietor health care provider with primary practice located at 43520 Division St , Lancaster CA 93535-4089. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Bowie, Staci Nicole can be contacted via phone (661) 266-4783.

Contact Information

Primary practice address
43520 Division St Lancaster CA 93535-4089
Phone: (661) 266-4783
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X California
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1003320342
LBN Legal business name Bowie, Staci Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2017
Last updated Apr 11th, 2019 - about 6 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 1003320342 NPPES
California Other 95-2633765 MEDI-CAL

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