Summerour, Stacey Lynne

Summerour, Stacey Lynne is an sole proprietor health care provider with primary practice located at 100 Joseph Walker Dr , West Columbia SC 29169-6939. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Summerour, Stacey Lynne can be contacted via phone (803) 936-0310.

Contact Information

Primary practice address
100 Joseph Walker Dr West Columbia SC 29169-6939
Phone: (803) 936-0310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1894 South Carolina

Profile Details

NPI number 1043406234
LBN Legal business name Summerour, Stacey Lynne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2007
Last updated Sep 20th, 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.

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