Bracken, Staci Lynn

Bracken, Staci Lynn is an sole proprietor health care provider with primary practice located at 461 Kingsley Ave , Orange Park FL 32073-4827. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bracken, Staci Lynn can be contacted via phone (904) 213-9805.

Contact Information

Primary practice address
461 Kingsley Ave Orange Park FL 32073-4827
Fax: (904) 213-9806
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH8596 Florida

Profile Details

NPI number 1346459021
LBN Legal business name Bracken, Staci Lynn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Mar 3rd, 2016 - about 9 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.

Request for update

Popular Providers