Stackhouse, Roosevelt
Stackhouse, Roosevelt is an sole proprietor health care provider with primary practice located at 1705 W Evans St , Florence SC 29501-3331. He recently has only one registered license in Nursing Service Providers / Home Health, which is considered as his primary health care specialty. Stackhouse, Roosevelt can be contacted via phone (843) 774-1577.Contact Information
Primary practice address
1705 W Evans St
Florence SC 29501-3331
Phone: (843) 774-1577
Fax: (843) 774-1047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | 37318 | South Carolina |
Profile Details
| NPI number | 1225455074 |
|---|---|
| LBN Legal business name | Stackhouse, Roosevelt |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2014 |
| Last updated | Mar 18th, 2014 - about 10 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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