Wells, Stacey
Wells, Stacey is an individual health care provider with primary practice located at 7975 L St Suite A, Omaha NE 68127-1731. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Wells, Stacey can be contacted via phone (402) 339-3187.Contact Information
Primary practice address
7975 L St Suite A
Omaha NE 68127-1731
Phone: (402) 339-3187
Fax: (402) 339-3914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 1587 | Nebraska |
Profile Details
| NPI number | 1174761068 |
|---|---|
| LBN Legal business name | Wells, Stacey |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2009 |
| Last updated | Jan 30th, 2009 - about 17 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 | 1174761068 | NPPES |
| Nebraska | MEDICAID | 10025450000 |
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