Irwin, Staci Diane

Irwin, Staci Diane is an individual health care provider with primary practice located at 12650 Edinboro Rd , Edinboro PA 16412-6016. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Irwin, Staci Diane can be contacted via phone (814) 734-4541.

Contact Information

Primary practice address
12650 Edinboro Rd Edinboro PA 16412-6016
Phone: (814) 734-4541
Fax: (814) 734-5562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MSG001363 Pennsylvania

Profile Details

NPI number 1205113594
LBN Legal business name Irwin, Staci Diane
Credentials L.M.T
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2011
Last updated Nov 15th, 2011 - about 14 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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