Stacker, Diane M
Stacker, Diane M is an individual health care provider with primary practice located at 2505 E Jefferson Blvd , South Bend IN 46615-2635. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Stacker, Diane M can be contacted via phone (574) 289-4831.Contact Information
Primary practice address
2505 E Jefferson Blvd
South Bend IN 46615-2635
Phone: (574) 289-4831
Fax: (574) 234-2075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1497976195 |
|---|---|
| LBN Legal business name | Stacker, Diane M |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 9th, 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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