Pederson, Stacy

Pederson, Stacy is an sole proprietor health care provider with primary practice located at 20 W Bedford Ave , Clovis CA 93611-3515. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Pederson, Stacy can be contacted via phone (559) 940-0385.

Contact Information

Primary practice address
20 W Bedford Ave Clovis CA 93611-3515
Phone: (559) 940-0385
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X IMF 71954 INTERN # California

Profile Details

NPI number 1346663796
LBN Legal business name Pederson, Stacy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2014
Last updated Jan 21st, 2014 - about 10 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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