Harris, Staci

Harris, Staci is an sole proprietor health care provider with primary practice located at 2308 W Montgomery Ave Apt B , Philadelphia PA 19121-3021. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Harris, Staci can be contacted via phone (215) 519-9183.

Contact Information

Primary practice address
2308 W Montgomery Ave Apt B Philadelphia PA 19121-3021
Phone: (215) 519-9183
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1245712900
LBN Legal business name Harris, Staci
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2018
Last updated Aug 29th, 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.

Request for update

Popular Providers