Fredrickson, Stacy A
Fredrickson, Stacy A is an individual health care provider with primary practice located at 748 E Porter Ave , Chesterton IN 46304-9101. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fredrickson, Stacy A can be contacted via phone (219) 255-1566.Contact Information
Primary practice address
748 E Porter Ave
Chesterton IN 46304-9101
Phone: (219) 255-1566
Fax: (219) 215-6115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05010467A | Indiana |
Profile Details
| NPI number | 1285077941 |
|---|---|
| LBN Legal business name | Fredrickson, Stacy A |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2013 |
| Last updated | Dec 17th, 2019 - about 6 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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