Back, Stacy

Back, Stacy is an sole proprietor health care provider with primary practice located at 2441 S Highway 27 , Somerset KY 42501-2935. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Back, Stacy can be contacted via phone (606) 677-4068.

Contact Information

Primary practice address
2441 S Highway 27 Somerset KY 42501-2935
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1384 Kentucky

Profile Details

NPI number 1457768699
LBN Legal business name Back, Stacy
Credentials MS,RD,LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2014
Last updated Jul 21st, 2014 - about 12 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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