Bankston, Stacey
Bankston, Stacey is an individual health care provider with primary practice located at 6400 Trinity Dr , Pine Bluff AR 71603-7802. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Bankston, Stacey can be contacted via phone (870) 879-0638.Contact Information
Primary practice address
6400 Trinity Dr
Pine Bluff AR 71603-7802
Phone: (870) 879-0638
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT-A581 | Arkansas |
Profile Details
| NPI number | 1093041048 |
|---|---|
| LBN Legal business name | Bankston, Stacey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2009 |
| Last updated | Oct 27th, 2009 - about 17 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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