Vincent, Stacy Lynn

Vincent, Stacy Lynn is an individual health care provider with primary practice located at 4232 29Th St Se , Grand Rapids MI 49512-1936. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Vincent, Stacy Lynn can be contacted via phone (616) 942-1818.

Contact Information

Primary practice address
4232 29Th St Se Grand Rapids MI 49512-1936
Fax: (616) 942-6567
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 3501003278 Michigan

Profile Details

NPI number 1851750830
LBN Legal business name Vincent, Stacy Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2016
Last updated Feb 18th, 2016 - about 10 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 1851750830 NPPES
Michigan Other 3501003278 STATE OF MICHIGAN LICENSE

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