Cool, Stacey A
Cool, Stacey A is an sole proprietor health care provider with primary practice located at 136 St Highway 331 , St Johnsville NY 13452-2818. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Cool, Stacey A can be contacted via phone (518) 568-5960.Contact Information
Primary practice address
136 St Highway 331
St Johnsville NY 13452-2818
Phone: (518) 568-5960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 10282261 | New York |
Profile Details
| NPI number | 1942463120 |
|---|---|
| LBN Legal business name | Cool, Stacey A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2008 |
| Last updated | Jul 8th, 2008 - about 16 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 | 1942463120 | NPPES |
| New York | MEDICAID | 10282261 |
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