Minio, Stacey Ann
Minio, Stacey Ann is an sole proprietor health care provider with primary practice located at 55 E Ridge Cir , Upper Holland PA 19053-1539. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Minio, Stacey Ann can be contacted via phone (215) 208-0654.Contact Information
Primary practice address
55 E Ridge Cir
Upper Holland PA 19053-1539
Phone: (215) 208-0654
Fax: (215) 734-2402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 40QA00913100 | New Jersey |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT015604 | Pennsylvania |
Profile Details
| NPI number | 1265625594 |
|---|---|
| LBN Legal business name | Minio, Stacey Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2007 |
| Last updated | Jul 7th, 2020 - about 5 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 | 1265625594 | NPPES |
| Pennsylvania | MEDICAID | 1265625594 |
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