Stone, Stephanie Ivy

Stone, Stephanie Ivy is an individual health care provider with primary practice located at 3307 Renner Dr , Fortuna CA 95540-3119. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Stone, Stephanie Ivy can be contacted via phone (707) 725-6108.

Contact Information

Primary practice address
3307 Renner Dr Fortuna CA 95540-3119
Fax: (707) 725-2651
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 1639 California

Profile Details

NPI number 1538264544
LBN Legal business name Stone, Stephanie Ivy
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Nov 10th, 2021 - about 5 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 1538264544 NPPES
California MEDICAID GR0087580

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