Stallard, Gina L
Stallard, Gina L is an sole proprietor health care provider with primary practice located at 1025 Heather Ct , Reedsport OR 97467-1919. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Stallard, Gina L can be contacted via phone (541) 361-0121.Contact Information
Primary practice address
1025 Heather Ct
Reedsport OR 97467-1919
Phone: (541) 361-0121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 5871 | Oregon |
Profile Details
| NPI number | 1740425123 |
|---|---|
| LBN Legal business name | Stallard, Gina L |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2008 |
| Last updated | Dec 12th, 2008 - about 18 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 | 1740425123 | NPPES |
| Oregon | Other | 5871 | LICENSE |
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