Stayback, Christina Louise

Stayback, Christina Louise is an sole proprietor health care provider with primary practice located at 2016 N Wayne St , Angola IN 46703-9102. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Stayback, Christina Louise can be contacted via phone (260) 665-7033.

Contact Information

Primary practice address
2016 N Wayne St Angola IN 46703-9102
Fax: (260) 665-6831
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26016035A Indiana

Profile Details

NPI number 1407453301
LBN Legal business name Stayback, Christina Louise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2020
Last updated Oct 4th, 2020 - about 5 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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