Haught, Stacey L

Haught, Stacey L is an individual health care provider with primary practice located at 4016 Raintree Rd Suite 240, Chesapeake VA 23321-3700. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Haught, Stacey L can be contacted via phone (757) 488-2864.

Contact Information

Primary practice address
4016 Raintree Rd Suite 240 Chesapeake VA 23321-3700
Phone: (757) 488-2864
Fax: (757) 488-4735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 2305206037 Virginia

Profile Details

NPI number 1154552719
LBN Legal business name Haught, Stacey L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2009
Last updated Jul 30th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154552719 NPPES
Virginia MEDICAID 004979061

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