Miner, Stacey
Miner, Stacey is an individual health care provider with primary practice located at 279 N Main St , Fall River MA 02720-2320. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Miner, Stacey can be contacted via phone (508) 679-0033.Contact Information
Primary practice address
279 N Main St
Fall River MA 02720-2320
Phone: (508) 679-0033
Fax: (508) 679-0037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1699148411 |
|---|---|
| LBN Legal business name | Miner, Stacey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2015 |
| Last updated | Nov 2nd, 2015 - about 11 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 | 1699148411 | NPPES |
| Massachusetts | MEDICAID | 110028092B/C |
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