Novotny, Stacey L
Novotny, Stacey L is an individual health care provider with primary practice located at 2005 W. Broadway , Princeton IN 47670. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Novotny, Stacey L can be contacted via phone (812) 386-7672.Contact Information
Primary practice address
2005 W. Broadway
Princeton IN 47670
Phone: (812) 386-7672
Fax: (812) 386-5155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | 6700258A | Indiana |
Profile Details
| NPI number | 1386859551 |
|---|---|
| LBN Legal business name | Novotny, Stacey L |
| Credentials | CPHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386859551 | NPPES |
| Indiana | Other | 6700258A | STATE LICENSE |
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