Churchill, Stacey Joyce

Churchill, Stacey Joyce is an sole proprietor health care provider with primary practice located at 1600 Hunt Trace Blvd , Clermont FL 34711-5184. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Churchill, Stacey Joyce can be contacted via phone (352) 394-5549.

Contact Information

Primary practice address
1600 Hunt Trace Blvd Clermont FL 34711-5184
Phone: (352) 394-5549
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11349 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT26441 Florida

Profile Details

NPI number 1932384013
LBN Legal business name Churchill, Stacey Joyce
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2008
Last updated Sep 30th, 2013 - about 11 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 1932384013 NPPES
North Carolina MEDICAID 7212335
North Carolina Other 068VV

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