Petties, Stacey

Petties, Stacey is an individual health care provider with primary practice located at 19331 N. 12Th St , Covington LA 70433. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Petties, Stacey can be contacted via phone (985) 400-5901.

Contact Information

Primary practice address
19331 N. 12Th St Covington LA 70433
Phone: (985) 400-5901
Fax: (985) 400-5164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Louisiana

Profile Details

NPI number 1407201973
LBN Legal business name Petties, Stacey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2016
Last updated Nov 9th, 2023 - about 2 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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