Stidham, Glenda Sue
Stidham, Glenda Sue is an sole proprietor health care provider with primary practice located at 57 Miller Rd , Manchester KY 40962-5714. She recently has only one registered license in Ambulatory Health Care Facilities / Public Health, State or Local, which is considered as her primary health care specialty. Stidham, Glenda Sue can be contacted via phone (606) 598-2815.Contact Information
Primary practice address
57 Miller Rd
Manchester KY 40962-5714
Phone: (606) 598-2815
Fax: (606) 598-0148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Public Health, State or Local | 261QP0905X | 01984 | Kentucky |
Profile Details
| NPI number | 1598966459 |
|---|---|
| LBN Legal business name | Stidham, Glenda Sue |
| Credentials | IECE CERTIFIED |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598966459 | NPPES |
| Kentucky | Other | 01984 | DEVELOPMENTAL INTERVENTIO |
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