Worm, Staci
Worm, Staci is an individual health care provider with primary practice located at 372 S 9Th St , David City NE 68632-2116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Worm, Staci can be contacted via phone (402) 367-1200.Contact Information
Primary practice address
372 S 9Th St
David City NE 68632-2116
Phone: (402) 367-1200
Fax: (855) 681-9015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 1932 | Nebraska |
Profile Details
| NPI number | 1003285909 |
|---|---|
| LBN Legal business name | Worm, Staci |
| Credentials | MOT, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2015 |
| Last updated | Sep 21st, 2015 - about 10 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 | 1003285909 | NPPES |
| Nebraska | Other | 1932 | OCCUPATIONAL THERAPIST |
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