Bliss Fudge, Stacy L
Bliss Fudge, Stacy L is an individual health care provider with primary practice located at 5124 23Rd St , Columbus NE 68601-2006. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bliss Fudge, Stacy L can be contacted via phone (402) 564-9888.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 8495 | Nebraska |
Profile Details
| NPI number | 1538338645 |
|---|---|
| LBN Legal business name | Bliss Fudge, Stacy L |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2008 |
| Last updated | Feb 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538338645 | NPPES |
| Nebraska | MEDICAID | 10025268300 |
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