Jordan, Stacy M.
Jordan, Stacy M. is an individual health care provider with primary practice located at 108 Cherry St , Burlington VT 05401-4295. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Jordan, Stacy M. can be contacted via phone (802) 863-7326.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | Vermont |
Profile Details
| NPI number | 1831252386 |
|---|---|
| LBN Legal business name | Jordan, Stacy M. |
| Credentials | M.A. CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Nov 6th, 2007 - about 17 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 | 1831252386 | NPPES |
| Vermont | MEDICAID | 1008071 |
Popular Providers
-
Smith, Dale Kevin
111 Colchester Ave Wp4--Otolaryngology, Burlington VT 05401-1473 -
Hollop, Stephanie Lynn
489 Main St , Burlington VT 05405 -
Gibeault, Corey
Eleanor M. Luse Center 489 Main Street, Pomeroy Hall , Burlington VT 05405 -
Abernathy, Sydney S
108 Cherry St , Burlington VT 05401-4295 -
Murphy, Tracy Amico
111 Colchester Ave Department Of Otolaryngology, West Pavilion, Level 4, Burlington VT 05401-1473 -
Bier, Julie
54 W Twin Oaks Ter Ste 10 , South Burlington VT 05403-7141 -
Townsend, Thomas Peter
111 Colchester Ave Ent Wp 4 Acc, Burlington VT 05401-1473 -
Keyes, Kathryn E
111 Colchester Ave Dept Of , Burlington VT 05401-1473