Stacy, Brenda

Stacy, Brenda is an sole proprietor health care provider with primary practice located at 507 Drwey , Potesu OK 74953. She recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as her primary health care specialty. Stacy, Brenda can be contacted via phone (918) 649-0172.

Contact Information

Primary practice address
507 Drwey Potesu OK 74953
Phone: (918) 649-0172
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X 261QM0801X Oklahoma

Profile Details

NPI number 1356889745
LBN Legal business name Stacy, Brenda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2017
Last updated Feb 6th, 2017 - about 7 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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