Allen, Brad Stacy
Allen, Brad Stacy is an sole proprietor health care provider with primary practice located at 4214 98Th St , Lubbock TX 79423-3957. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Allen, Brad Stacy can be contacted via phone (806) 712-7878.Contact Information
Primary practice address
4214 98Th St
Lubbock TX 79423-3957
Phone: (806) 712-7878
Fax: (806) 722-7878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1085595 | Texas |
Profile Details
| NPI number | 1982608550 |
|---|---|
| LBN Legal business name | Allen, Brad Stacy |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Feb 12th, 2020 - 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 | 1982608550 | NPPES |
| Texas | MEDICAID | 058642202 |
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