Chambless, Stacie S

Chambless, Stacie S is an sole proprietor health care provider with primary practice located at 920 W Broadway St , Hobbs NM 88240-5529. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Chambless, Stacie S can be contacted via phone (575) 393-3168.

Contact Information

Primary practice address
920 W Broadway St Hobbs NM 88240-5529
Phone: (575) 393-3168
Fax: (575) 397-4659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X L14937 New Mexico

Profile Details

NPI number 1851539779
LBN Legal business name Chambless, Stacie S
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2009
Last updated Jan 30th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851539779 NPPES
New Mexico MEDICAID 463000

Popular Providers