Harris, Stacy
Harris, Stacy is an sole proprietor health care provider with primary practice located at 900 S Arlington Ave Rm 144B , Harrisburg PA 17109-5030. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Harris, Stacy can be contacted via phone (717) 370-4976.Contact Information
Primary practice address
900 S Arlington Ave Rm 144B
Harrisburg PA 17109-5030
Phone: (717) 370-4976
Fax: (717) 412-7390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 11793601 | Pennsylvania |
Profile Details
| NPI number | 1467088757 |
|---|---|
| LBN Legal business name | Harris, Stacy |
| Credentials | HOME CARE AGENCY |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2020 |
| Last updated | Mar 18th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467088757 | NPPES |
| Pennsylvania | MEDICAID | 455288227 |
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