Detweiler, Stacey Beth

Detweiler, Stacey Beth is an individual health care provider with primary practice located at 301 Industrial Rd , San Carlos CA 94070-2603. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Detweiler, Stacey Beth can be contacted via phone (650) 596-4230.

Contact Information

Primary practice address
301 Industrial Rd San Carlos CA 94070-2603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X
Other Service Providers / Genetic Counselor, MS 170300000X 16187 California

Profile Details

NPI number 1326382615
LBN Legal business name Detweiler, Stacey Beth
Credentials M.S., CGC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2012
Last updated Sep 14th, 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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