Stallcop, Judy Ann

Stallcop, Judy Ann is an sole proprietor health care provider with primary practice located at 836 W Locust Ln , Nampa ID 83686-8231. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Stallcop, Judy Ann can be contacted via phone (208) 466-8315.

Contact Information

Primary practice address
836 W Locust Ln Nampa ID 83686-8231
Fax: (208) 468-0566
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 564593

Profile Details

NPI number 1598932493
LBN Legal business name Stallcop, Judy Ann
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2008
Last updated May 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598932493 NPPES
Idaho MEDICAID 8063404-JUDYSTALLCOP

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