Grant, Stacy

Grant, Stacy is an sole proprietor health care provider with primary practice located at 415 S 42Nd St Apt 4, Philadelphia PA 19104-4094. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Grant, Stacy can be contacted via phone (570) 977-0646.

Contact Information

Primary practice address
415 S 42Nd St Apt 4 Philadelphia PA 19104-4094
Phone: (570) 977-0646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X OC012558 Pennsylvania

Profile Details

NPI number 1669834362
LBN Legal business name Grant, Stacy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2016
Last updated Oct 17th, 2016 - about 9 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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