Kacic, Stacey Lynn

Kacic, Stacey Lynn is an individual health care provider with primary practice located at 51341 W Huron River Dr , Belleville MI 48111-2571. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kacic, Stacey Lynn can be contacted via phone (734) 484-0482.

Contact Information

Primary practice address
51341 W Huron River Dr Belleville MI 48111-2571
Fax: (734) 484-4086
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302029834 Michigan

Profile Details

NPI number 1811215676
LBN Legal business name Kacic, Stacey Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2010
Last updated May 4th, 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 1811215676 NPPES
Michigan Other 5302029834 PHARMACIT LICENSE

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