Frederick, Stacey Anne

Frederick, Stacey Anne is an individual health care provider with primary practice located at 6601 Phoenix Ave Suite B, Fort Smith AR 72903-5092. 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. Frederick, Stacey Anne can be contacted via phone (479) 785-9091.

Contact Information

Primary practice address
6601 Phoenix Ave Suite B Fort Smith AR 72903-5092
Phone: (479) 785-9091
Fax: (479) 782-3415
Website:
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Health care specialties

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

Profile Details

NPI number 1811421068
LBN Legal business name Frederick, Stacey Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2017
Last updated Apr 14th, 2017 - 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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