Etherton-Agius, Stacey Ann

Etherton-Agius, Stacey Ann is an individual health care provider with primary practice located at 261 Mack Ave , Detroit MI 48201-2417. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Etherton-Agius, Stacey Ann can be contacted via phone (313) 745-0982.

Contact Information

Primary practice address
261 Mack Ave Detroit MI 48201-2417
Phone: (313) 745-0982
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 5201001866 Michigan

Profile Details

NPI number 1851884076
LBN Legal business name Etherton-Agius, Stacey Ann
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2018
Last updated Jun 16th, 2018 - about 7 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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