Burton, Stacey A

Burton, Stacey A is an individual health care provider with primary practice located at Republic R-Iii 518 N Hampton Ave, Republic MO 65738-1323. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Burton, Stacey A can be contacted via phone (417) 732-3609.

Contact Information

Primary practice address
Republic R-Iii 518 N Hampton Ave Republic MO 65738-1323
Fax: (417) 732-3605
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 118464 Missouri

Profile Details

NPI number 1467662965
LBN Legal business name Burton, Stacey A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Feb 23rd, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467662965 NPPES
Missouri MEDICAID 465697613

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