Smith, Stacy

Smith, Stacy is an sole proprietor health care provider with primary practice located at 1411 N Grand Ave 100, Covina CA 91724-1001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Smith, Stacy can be contacted via phone (626) 395-7100.

Contact Information

Primary practice address
1411 N Grand Ave 100 Covina CA 91724-1001
Phone: (626) 395-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1114057791
LBN Legal business name Smith, Stacy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jun 25th, 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.

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