Pruitt, Stacy Lynn

Pruitt, Stacy Lynn is an individual health care provider with primary practice located at 3030 North St Suite 201, Beaumont TX 77702-1433. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Pruitt, Stacy Lynn can be contacted via phone (409) 892-2111.

Contact Information

Primary practice address
3030 North St Suite 201 Beaumont TX 77702-1433
Phone: (409) 892-2111
Fax: (409) 813-3848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT07468 Texas

Profile Details

NPI number 1386708691
LBN Legal business name Pruitt, Stacy Lynn
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Apr 24th, 2008 - about 16 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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