Brewer, Staci B
Brewer, Staci B is an sole proprietor health care provider with primary practice located at 1000 Emmett St Ste 102 , Kissimmee FL 34741-3605. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brewer, Staci B can be contacted via phone (407) 913-1010.Contact Information
Primary practice address
1000 Emmett St Ste 102
Kissimmee FL 34741-3605
Phone: (407) 913-1010
Fax: (407) 992-8697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA9608 | Florida |
Profile Details
| NPI number | 1821283763 |
|---|---|
| LBN Legal business name | Brewer, Staci B |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Oct 12th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821283763 | NPPES |
| Florida | Other | SA9608 | STATE LICENSE |
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