Tissue, Stacey Lynn

Tissue, Stacey Lynn is an individual health care provider with primary practice located at 2875 Henry St , Port Huron MI 48060-2526. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Tissue, Stacey Lynn can be contacted via phone (810) 987-9700.

Contact Information

Primary practice address
2875 Henry St Port Huron MI 48060-2526
Phone: (810) 987-9700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 6802086138 Michigan

Profile Details

NPI number 1043482854
LBN Legal business name Tissue, Stacey Lynn
Credentials LLBSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated Apr 1st, 2008 - about 17 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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