Coberly, Staci Rene

Coberly, Staci Rene is an sole proprietor health care provider with primary practice located at 1203 D St , Salida CO 81201-2742. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Coberly, Staci Rene can be contacted via phone (785) 443-1707.

Contact Information

Primary practice address
1203 D St Salida CO 81201-2742
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH.000904674 Colorado

Profile Details

NPI number 1417636945
LBN Legal business name Coberly, Staci Rene
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2023
Last updated Jul 12th, 2023 - about 2 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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