Berry, Stacey Maxwell

Berry, Stacey Maxwell is an individual health care provider with primary practice located at 101 E Ross Ave , Sapulpa OK 74066-6425. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Berry, Stacey Maxwell can be contacted via phone (918) 227-2016.

Contact Information

Primary practice address
101 E Ross Ave Sapulpa OK 74066-6425
Phone: (918) 227-2016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L082124643 Oklahoma

Profile Details

NPI number 1528215571
LBN Legal business name Berry, Stacey Maxwell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2008
Last updated Aug 21st, 2008 - about 18 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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