Woodworth, Stacie Nichole

Woodworth, Stacie Nichole is an individual health care provider with primary practice located at 2128 Midlands Ct , Sycamore IL 60178-3199. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Woodworth, Stacie Nichole can be contacted via phone (815) 758-0000.

Contact Information

Primary practice address
2128 Midlands Ct Sycamore IL 60178-3199
Phone: (815) 758-0000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 96001400 Illinois

Profile Details

NPI number 1932257110
LBN Legal business name Woodworth, Stacie Nichole
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2007
Last updated Dec 29th, 2015 - about 9 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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