Baker, Stacy Barczak

Baker, Stacy Barczak is an individual health care provider with primary practice located at 2401 Caladium Rd , Jacksonville FL 32211-4012. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Baker, Stacy Barczak can be contacted via phone (502) 551-9412.

Contact Information

Primary practice address
2401 Caladium Rd Jacksonville FL 32211-4012
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X

Profile Details

NPI number 1558934257
LBN Legal business name Baker, Stacy Barczak
Credentials ND
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2021
Last updated Jul 20th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558934257 NPPES
Other NA NA

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