Baskerville, Stacey
Baskerville, Stacey is an sole proprietor health care provider with primary practice located at 300 Silverleaf Rd Apt 1201 , Sweeny TX 77480-1839. She recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, which is considered as her primary health care specialty. Baskerville, Stacey can be contacted via phone (979) 482-4637.Contact Information
Primary practice address
300 Silverleaf Rd Apt 1201
Sweeny TX 77480-1839
Phone: (979) 482-4637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Intermediate | 146M00000X | 139905 | Texas |
Profile Details
| NPI number | 1417099565 |
|---|---|
| LBN Legal business name | Baskerville, Stacey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1417099565 | NPPES |
| Texas | MEDICAID | 1824609 |
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