Crouch, Stacy

Crouch, Stacy is an sole proprietor health care provider with primary practice located at 6867 Southpoint Dr N , Jacksonville FL 32216-8043. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Crouch, Stacy can be contacted via phone (904) 619-6071.

Contact Information

Primary practice address
6867 Southpoint Dr N Jacksonville FL 32216-8043
Phone: (904) 619-6071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1992253041
LBN Legal business name Crouch, Stacy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2016
Last updated Sep 19th, 2016 - about 8 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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