Collison, Staci Lynn

Collison, Staci Lynn is an individual health care provider with primary practice located at 506 Beltrami Ave Nw , Bemidji MN 56601. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Collison, Staci Lynn can be contacted via phone (218) 751-2020.

Contact Information

Primary practice address
506 Beltrami Ave Nw Bemidji MN 56601
Phone: (218) 751-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Eye and Vision Services Providers / Optometrist 152W00000X 3378 Minnesota

Profile Details

NPI number 1588949648
LBN Legal business name Collison, Staci Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2011
Last updated Mar 22nd, 2023 - about 3 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

Popular Providers