Stewart, India L

Stewart, India L is an sole proprietor health care provider with primary practice located at 4701 Jonesboro Rd , Forest Park GA 30297-4318. She recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as her primary health care specialty. Stewart, India L can be contacted via phone (404) 707-1628.

Contact Information

Primary practice address
4701 Jonesboro Rd Forest Park GA 30297-4318
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X NT021360 Georgia

Profile Details

NPI number 1265193965
LBN Legal business name Stewart, India L
Credentials LNT, CMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2022
Last updated Jan 4th, 2022 - about 4 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 1265193965 NPPES
Georgia Other NT021360 GA STATE BOARD OF PROFESSIONAL LICENSING

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