Ticer, Stephanie

Ticer, Stephanie is an individual health care provider with primary practice located at 9300 Dewitt Loop , Fort Belvoir VA 22060-5285. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Ticer, Stephanie can be contacted via phone (571) 231-3224.

Contact Information

Primary practice address
9300 Dewitt Loop Fort Belvoir VA 22060-5285
Fax:
Website:

Health care specialties

Profile Details

NPI number 1689124521
LBN Legal business name Ticer, Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2016
Last updated Jul 15th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689124521 NPPES
Washington MEDICAID 1689124521

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