Benson, Stacy
Benson, Stacy is an sole proprietor health care provider with primary practice located at 60 Beaver Brook Rd , Danbury CT 06810-6239. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Benson, Stacy can be contacted via phone (203) 743-7574.Contact Information
Primary practice address
60 Beaver Brook Rd
Danbury CT 06810-6239
Phone: (203) 743-7574
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 001190 | Connecticut |
Profile Details
| NPI number | 1770944480 |
|---|---|
| LBN Legal business name | Benson, Stacy |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2016 |
| Last updated | Mar 9th, 2016 - about 10 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 | 1770944480 | NPPES |
| Connecticut | Other | 001190 | CONNECTICUT DEPARTMENT OF PUBLIC HEALTH |
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