Stewart, Myra Nichole
Stewart, Myra Nichole is an sole proprietor health care provider with primary practice located at 3810 La Crescenta Ave , La Crescenta CA 91214-3914. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Stewart, Myra Nichole can be contacted via phone (818) 369-7700.Contact Information
Primary practice address
3810 La Crescenta Ave
La Crescenta CA 91214-3914
Phone: (818) 369-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 292321 | California |
Profile Details
| NPI number | 1912449869 |
|---|---|
| LBN Legal business name | Stewart, Myra Nichole |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2016 |
| Last updated | Sep 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912449869 | NPPES |
| California | Other | 292321 | CALIFORNIA |
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