Hannemann, Stacy L

Hannemann, Stacy L is an individual health care provider with primary practice located at 10573 N Friar Dr Apt A , Hayden ID 83835-8507. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Hannemann, Stacy L can be contacted via phone (661) 373-1118.

Contact Information

Primary practice address
10573 N Friar Dr Apt A Hayden ID 83835-8507
Phone: (661) 373-1118
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT-1767 Idaho

Profile Details

NPI number 1992763536
LBN Legal business name Hannemann, Stacy L
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Nov 22nd, 2022 - about 4 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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