Black-Shaw, Stacey Lynn

Black-Shaw, Stacey Lynn is an sole proprietor health care provider with primary practice located at 4646 John R St , Detroit MI 48201-1916. She recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as her primary health care specialty. Black-Shaw, Stacey Lynn can be contacted via phone (313) 576-1000.

Contact Information

Primary practice address
4646 John R St Detroit MI 48201-1916
Phone: (313) 576-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 4704282646 Michigan

Profile Details

NPI number 1346093184
LBN Legal business name Black-Shaw, Stacey Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2024
Last updated Apr 10th, 2024 - about 2 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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