Petersen, Stacy
Petersen, Stacy is an individual health care provider with primary practice located at 9811 W Charleston Blvd # 2-641 , Las Vegas NV 89117-7528. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as her primary health care specialty. Petersen, Stacy can be contacted via phone (855) 864-4322.Contact Information
Primary practice address
9811 W Charleston Blvd # 2-641
Las Vegas NV 89117-7528
Phone: (855) 864-4322
Fax: (866) 540-8267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X |
Profile Details
| NPI number | 1063055150 |
|---|---|
| LBN Legal business name | Petersen, Stacy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2019 |
| Last updated | Oct 22nd, 2019 - 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.
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