Vanbodegon, Stacie L

Vanbodegon, Stacie L is an sole proprietor health care provider with primary practice located at 500 Old Newport Blvd Suite 101, Newport Beach CA 92663-4234. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Vanbodegon, Stacie L can be contacted via phone (949) 642-7935.

Contact Information

Primary practice address
500 Old Newport Blvd Suite 101 Newport Beach CA 92663-4234
Phone: (949) 642-7935
Fax: (949) 642-2950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1477841542
LBN Legal business name Vanbodegon, Stacie L
Credentials AUD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2011
Last updated Jul 11th, 2011 - about 13 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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