Vanderwel, Stacey Ann
Vanderwel, Stacey Ann is an sole proprietor health care provider with primary practice located at 505 East Blvd Suite 200, Charlotte NC 28203-5105. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Vanderwel, Stacey Ann can be contacted via phone (704) 542-2512.Contact Information
Primary practice address
505 East Blvd Suite 200
Charlotte NC 28203-5105
Phone: (704) 542-2512
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | L002810 | North Carolina |
Profile Details
| NPI number | 1629231683 |
|---|---|
| LBN Legal business name | Vanderwel, Stacey Ann |
| Credentials | RD, CSP, LDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2008 |
| Last updated | Jul 9th, 2008 - about 16 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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