Thomas, Stacia L.

Thomas, Stacia L. is an individual health care provider with primary practice located at 1250 Forest Ave Ste 301, Portland ME 04103-1889. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Thomas, Stacia L. can be contacted via phone (207) 797-5753.

Contact Information

Primary practice address
1250 Forest Ave Ste 301 Portland ME 04103-1889
Phone: (207) 797-5753
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AP2351 Maine

Profile Details

NPI number 1821396094
LBN Legal business name Thomas, Stacia L.
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2011
Last updated Apr 27th, 2017 - about 9 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 1821396094 NPPES
Florida MEDICAID 003479200
Florida Other E400160375
Florida Other E400159752

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