Thacker-Newsome, Stacy Ann

Thacker-Newsome, Stacy Ann is an individual health care provider with primary practice located at 15903 State Road 60 , Borden IN 47106-8629. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Thacker-Newsome, Stacy Ann can be contacted via phone (606) 831-1020.

Contact Information

Primary practice address
15903 State Road 60 Borden IN 47106-8629
Phone: (606) 831-1020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1043686595
LBN Legal business name Thacker-Newsome, Stacy Ann
Credentials MA, LBD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2015
Last updated Aug 19th, 2015 - about 11 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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