Phillips, Stacie Lynn
Phillips, Stacie Lynn is an individual health care provider with primary practice located at 17706 I-30 Suite 3, Benton AR 72015. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Phillips, Stacie Lynn can be contacted via phone (501) 315-4414.Contact Information
Primary practice address
17706 I-30 Suite 3
Benton AR 72015
Phone: (501) 315-4414
Fax: (501) 315-3467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OTR1453 | Arkansas |
Profile Details
| NPI number | 1912968793 |
|---|---|
| LBN Legal business name | Phillips, Stacie Lynn |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| 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 | 1912968793 | NPPES |
| Arkansas | Other | 5U912 | BCBS |
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