Isrow, Stacey Marie
Isrow, Stacey Marie is an sole proprietor health care provider with primary practice located at 1799 Kings Gate Ln , Crystal Lake IL 60014-2906. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Isrow, Stacey Marie can be contacted via phone (815) 276-7786.Contact Information
Primary practice address
1799 Kings Gate Ln
Crystal Lake IL 60014-2906
Phone: (815) 276-7786
Fax: (815) 788-1321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1649366063 |
|---|---|
| LBN Legal business name | Isrow, Stacey Marie |
| Credentials | BS/PSYC, DT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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