Mccarroll, Stacey
Mccarroll, Stacey is an individual health care provider with primary practice located at 1801 Grant Ave , Jonesboro AR 72401-6155. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mccarroll, Stacey can be contacted via phone (870) 974-9114.Contact Information
Primary practice address
1801 Grant Ave
Jonesboro AR 72401-6155
Phone: (870) 974-9114
Fax: (870) 974-9184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 1299 | Arkansas |
Profile Details
| NPI number | 1841638954 |
|---|---|
| LBN Legal business name | Mccarroll, Stacey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2013 |
| Last updated | Jun 11th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841638954 | NPPES |
| Arkansas | Other | 1299 | DIETIAN |
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