Stockdale, Myra Ann
Stockdale, Myra Ann is an individual health care provider with primary practice located at 2001 Newburg Rd , Louisville KY 40205-1863. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Stockdale, Myra Ann can be contacted via phone (502) 272-7614.Contact Information
Primary practice address
2001 Newburg Rd
Louisville KY 40205-1863
Phone: (502) 272-7614
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 36000285A | Indiana |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT1347 | Kentucky |
Profile Details
NPI number | 1245205905 |
---|---|
LBN Legal business name | Stockdale, Myra Ann |
Credentials | DHSC, ATC, LAT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 17th, 2006 |
Last updated | Apr 9th, 2017 - about 8 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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