Edwards, Stacey
Edwards, Stacey is an sole proprietor health care provider with primary practice located at 3737 Landings Dr A4, Fort Collins CO 80525-3159. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Edwards, Stacey can be contacted via phone (720) 299-4458.Contact Information
Primary practice address
3737 Landings Dr A4
Fort Collins CO 80525-3159
Phone: (720) 299-4458
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 12391 | Colorado |
Profile Details
| NPI number | 1174867295 |
|---|---|
| LBN Legal business name | Edwards, Stacey |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2012 |
| Last updated | Nov 15th, 2012 - about 13 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 | 1174867295 | NPPES |
| Colorado | Other | 12391 | MEDICARE |
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