Maples, Stacy

Maples, Stacy is an sole proprietor health care provider with primary practice located at 12444 Agatite Rd , Jacksonville FL 32258-2302. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Technologists, Technicians & Other Technical Service Providers / EEG. Technologists, Technicians & Other Technical Service Providers / EEG is her primary health care specialty. Maples, Stacy can be contacted via phone (904) 325-4911.

Contact Information

Primary practice address
12444 Agatite Rd Jacksonville FL 32258-2302
Phone: (904) 325-4911
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 15451 Florida
Technologists, Technicians & Other Technical Service Providers / EEG 2472E0500X 4372 Florida

Profile Details

NPI number 1831596550
LBN Legal business name Maples, Stacy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2014
Last updated Nov 24th, 2014 - about 12 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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