Sando, Stacie L
Sando, Stacie L is an individual health care provider with primary practice located at 1749 E Broad St Degenhart Chiropractic, Hazleton PA 18201-5650. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Sando, Stacie L can be contacted via phone (570) 454-2474.Contact Information
Primary practice address
1749 E Broad St Degenhart Chiropractic
Hazleton PA 18201-5650
Phone: (570) 454-2474
Fax: (570) 454-0097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC009159 | Pennsylvania |
Profile Details
| NPI number | 1205937638 |
|---|---|
| LBN Legal business name | Sando, Stacie L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Feb 4th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205937638 | NPPES |
| Pennsylvania | MEDICAID | 1011929270001 |
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