Johnson, Stacy L

Johnson, Stacy L is an sole proprietor health care provider with primary practice located at 326 Shade Dr , Fairborn OH 45324-4239. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Johnson, Stacy L can be contacted via phone (937) 361-9764.

Contact Information

Primary practice address
326 Shade Dr Fairborn OH 45324-4239
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 122515 Ohio

Profile Details

NPI number 1851579387
LBN Legal business name Johnson, Stacy L
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2008
Last updated Feb 6th, 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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