Mroczko, Stacey
Mroczko, Stacey is an individual health care provider with primary practice located at 901 Somerby Dr , Mobile AL 36695-3490. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mroczko, Stacey can be contacted via phone (251) 633-4447.Contact Information
Primary practice address
901 Somerby Dr
Mobile AL 36695-3490
Phone: (251) 633-4447
Fax: (251) 633-4141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2132 | Alabama |
Profile Details
| NPI number | 1508262064 |
|---|---|
| LBN Legal business name | Mroczko, Stacey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2014 |
| Last updated | Nov 11th, 2014 - 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 | 1508262064 | NPPES |
| Alabama | MEDICAID | 529917620 | |
| Alabama | Other | 1003819608 |
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