Ivey, Stacie
Ivey, Stacie is an sole proprietor health care provider with primary practice located at 700 Bramblebush Street , Fort Collins CO 80524-2199. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ivey, Stacie can be contacted via phone (970) 214-3677.Contact Information
Primary practice address
700 Bramblebush Street
Fort Collins CO 80524-2199
Phone: (970) 214-3677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP0001614 | Colorado |
Profile Details
| NPI number | 1801917067 |
|---|---|
| LBN Legal business name | Ivey, Stacie |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Oct 20th, 2014 - about 11 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 | 1801917067 | NPPES |
| New Mexico | MEDICAID | Z 1275 | |
| New Mexico | MEDICAID | 77809831 |
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