Stanley, Katherine R
Stanley, Katherine R is an sole proprietor health care provider with primary practice located at 2830 Maplewood Ave Ste A , Winston Salem NC 27103-4114. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter is her primary health care specialty. Stanley, Katherine R can be contacted via phone (336) 331-3480.Contact Information
Primary practice address
2830 Maplewood Ave Ste A
Winston Salem NC 27103-4114
Phone: (336) 331-3480
Fax: (336) 793-1218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter | 224900000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter | 225000000X | 23483 | North Carolina |
Profile Details
| NPI number | 1164488755 |
|---|---|
| LBN Legal business name | Stanley, Katherine R |
| Credentials | CFM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Oct 6th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164488755 | NPPES |
| North Carolina | MEDICAID | 7701864 |
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