Ketcham, Stacie

Ketcham, Stacie is an sole proprietor health care provider with primary practice located at 9040 Reid St Attn:Mchj-Clq-C, Joint Base Lewis Mcchord WA 98431-1100. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Ketcham, Stacie can be contacted via phone (253) 968-2252.

Contact Information

Primary practice address
9040 Reid St Attn:Mchj-Clq-C Joint Base Lewis Mcchord WA 98431-1100
Phone: (253) 968-2252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP 60538305 Washington

Profile Details

NPI number 1144696865
LBN Legal business name Ketcham, Stacie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2015
Last updated Aug 17th, 2015 - about 9 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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