Jefferson, Stacy Wayne

Jefferson, Stacy Wayne is an sole proprietor health care provider with primary practice located at 432 N Green St , Georgetown OH 45121-1011. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Jefferson, Stacy Wayne can be contacted via phone (937) 213-0588.

Contact Information

Primary practice address
432 N Green St Georgetown OH 45121-1011
Phone: (937) 213-0588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN127734 IV Ohio

Profile Details

NPI number 1861645574
LBN Legal business name Jefferson, Stacy Wayne
Credentials LPN-IV
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2008
Last updated Oct 25th, 2008 - 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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