Stasey, John Paul

Stasey, John Paul is an sole proprietor health care provider with primary practice located at 4413 Pack Saddle Pass , Austin TX 78745-1623. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Stasey, John Paul can be contacted via phone (512) 447-2333.

Contact Information

Primary practice address
4413 Pack Saddle Pass Austin TX 78745-1623
Fax: (512) 447-1717
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1730389958
LBN Legal business name Stasey, John Paul
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2007
Last updated Jul 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730389958 NPPES
Other 0916960001 MEDICARE SUPPLIER NUMBER/

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