Shorette, Stacy C S

Shorette, Stacy C S is an sole proprietor health care provider with primary practice located at 1173 Church Rd , Saugerties NY 12477-3236. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Shorette, Stacy C S can be contacted via phone (845) 247-3248.

Contact Information

Primary practice address
1173 Church Rd Saugerties NY 12477-3236
Phone: (845) 247-3248
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 245193 New York

Profile Details

NPI number 1467631754
LBN Legal business name Shorette, Stacy C S
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2007
Last updated Nov 2nd, 2007 - about 17 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 1467631754 NPPES
New York MEDICAID 02880573

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