Stackrow, Stacy Marie

Stackrow, Stacy Marie is an individual health care provider with primary practice located at 585 Lincoln St , Worcester MA 01605-1906. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Stackrow, Stacy Marie can be contacted via phone (508) 854-3320.

Contact Information

Primary practice address
585 Lincoln St Worcester MA 01605-1906
Phone: (508) 854-3320
Fax: (508) 753-5051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1144373952
LBN Legal business name Stackrow, Stacy Marie
Credentials B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 9th, 2007 - about 18 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 1144373952 NPPES
Massachusetts Other M18684 BCBS MENTAL HEALTH
Massachusetts MEDICAID 1306421 BCBS MENTAL HEALTH
Massachusetts MEDICAID 1308785 BCBS MENTAL HEALTH
Massachusetts Other 2220002001 BCBS MENTAL HEALTH

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