Southcott, Stacia

Southcott, Stacia is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1301. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Southcott, Stacia can be contacted via phone (607) 547-3909.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326-1301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86041290 New York

Profile Details

NPI number 1750824041
LBN Legal business name Southcott, Stacia
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2016
Last updated Nov 18th, 2016 - about 9 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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