Stafko-Douglass, Micki

Stafko-Douglass, Micki is an individual health care provider with primary practice located at 745 Russell St , Craig CO 81625-2019. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Stafko-Douglass, Micki can be contacted via phone (970) 824-8233.

Contact Information

Primary practice address
745 Russell St Craig CO 81625-2019
Phone: (970) 824-8233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH.002023726 Colorado

Profile Details

NPI number 1609239714
LBN Legal business name Stafko-Douglass, Micki
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2016
Last updated Apr 5th, 2016 - about 9 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.

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