Vickery, Stacey D
Vickery, Stacey D is an individual health care provider with primary practice located at 5000 N Bowes Rd , Tucson AZ 85749-8589. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Vickery, Stacey D can be contacted via phone (520) 584-7732.Contact Information
Primary practice address
5000 N Bowes Rd
Tucson AZ 85749-8589
Phone: (520) 584-7732
Fax: (520) 584-7701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 12457 | California |
Profile Details
| NPI number | 1376732156 |
|---|---|
| LBN Legal business name | Vickery, Stacey D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Oct 17th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376732156 | NPPES |
| Arizona | MEDICAID | 878598 |
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