Rodgers, Stacey L

Rodgers, Stacey L is an sole proprietor health care provider with primary practice located at 2253 C North Loop 336 W , Conroe TX 77304-3630. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Rodgers, Stacey L can be contacted via phone (936) 441-9990.

Contact Information

Primary practice address
2253 C North Loop 336 W Conroe TX 77304-3630
Fax: (936) 441-9991
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 8856 Texas

Profile Details

NPI number 1275503187
LBN Legal business name Rodgers, Stacey L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated May 29th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275503187 NPPES
Texas MEDICAID 172876801

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