Harmon, Stacy A

Harmon, Stacy A is an individual health care provider with primary practice located at 4400 E Flamingo Ave , Nampa ID 83687-9203. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Harmon, Stacy A can be contacted via phone (208) 288-4970.

Contact Information

Primary practice address
4400 E Flamingo Ave Nampa ID 83687-9203
Phone: (208) 288-4970
Fax: (208) 463-3044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT530 Idaho

Profile Details

NPI number 1831189869
LBN Legal business name Harmon, Stacy A
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Feb 9th, 2010 - about 16 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 1831189869 NPPES
Idaho Other 000010150362 BLUE SHIELD
Idaho Other W1044 BLUE SHIELD

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