Thetford, Stacy L
Thetford, Stacy L is an sole proprietor health care provider with primary practice located at 230 E Main St , Rogue River OR 97537-9416. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Thetford, Stacy L can be contacted via phone (541) 582-2323.Contact Information
Primary practice address
230 E Main St
Rogue River OR 97537-9416
Phone: (541) 582-2323
Fax: (541) 582-2419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OR3171 | Oregon |
Profile Details
| NPI number | 1841288222 |
|---|---|
| LBN Legal business name | Thetford, Stacy L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Sep 6th, 2013 - about 13 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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