John, Stacey

John, Stacey is an individual health care provider with primary practice located at 3580 Arcade St , Vadnais Heights MN 55127-7135. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. John, Stacey can be contacted via phone (651) 968-5375.

Contact Information

Primary practice address
3580 Arcade St Vadnais Heights MN 55127-7135
Phone: (651) 968-5375
Fax: (651) 968-5907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 18-2775 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2280 Minnesota

Profile Details

NPI number 1144634601
LBN Legal business name John, Stacey
Credentials ATC, OTC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2014
Last updated Jan 29th, 2020 - about 4 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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