Weaver, Stacy
Weaver, Stacy is an individual health care provider with primary practice located at 77 Mount Aire Farm Rd , Glen Mills PA 19342-3356. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Weaver, Stacy can be contacted via phone (302) 898-8145.Contact Information
Primary practice address
77 Mount Aire Farm Rd
Glen Mills PA 19342-3356
Phone: (302) 898-8145
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OC006231L | Pennsylvania |
Profile Details
| NPI number | 1174748834 |
|---|---|
| LBN Legal business name | Weaver, Stacy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Jun 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174748834 | NPPES |
| Pennsylvania | Other | 0019355560003 | MA |
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