Smith, Stacy Hope

Smith, Stacy Hope is an sole proprietor health care provider with primary practice located at 1717 Will O Wisp Dr Unit 100 , Virginia Beach VA 23454-3102. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Smith, Stacy Hope can be contacted via phone (757) 422-8476.

Contact Information

Primary practice address
1717 Will O Wisp Dr Unit 100 Virginia Beach VA 23454-3102
Phone: (757) 422-8476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305004731 Virginia

Profile Details

NPI number 1023078490
LBN Legal business name Smith, Stacy Hope
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Apr 8th, 2021 - about 3 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 1023078490 NPPES
Virginia MEDICAID 1023078490

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