Stacey, Wendy Marie
Stacey, Wendy Marie is an individual health care provider with primary practice located at 187 W Broad St , Spartanburg SC 29306-3234. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stacey, Wendy Marie can be contacted via phone (864) 582-7588.Contact Information
Primary practice address
187 W Broad St
Spartanburg SC 29306-3234
Phone: (864) 582-7588
Fax: (864) 582-0431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1107283 | South Carolina |
Profile Details
| NPI number | 1417295908 |
|---|---|
| LBN Legal business name | Stacey, Wendy Marie |
| Credentials | CAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2013 |
| Last updated | Jan 18th, 2013 - about 13 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 | 1417295908 | NPPES |
| South Carolina | Other | 1107283 | CAC |
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