Estrada, Stacy
Estrada, Stacy is an individual health care provider with primary practice located at 1021 4Th St , Taft CA 93268-2433. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Estrada, Stacy can be contacted via phone (661) 765-7025.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | California |
Profile Details
NPI number | 1336663319 |
---|---|
LBN Legal business name | Estrada, Stacy |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 1st, 2017 |
Last updated | Mar 23rd, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336663319 | NPPES |
California | MEDICAID | 11945-R |
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