Wilson, Stacie

Wilson, Stacie is an individual health care provider with primary practice located at 10 S Main St Unit B , Weaverville NC 28787-8463. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Wilson, Stacie can be contacted via phone (828) 484-8440.

Contact Information

Primary practice address
10 S Main St Unit B Weaverville NC 28787-8463
Phone: (828) 484-8440
Fax: (828) 484-8445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 3184 North Carolina

Profile Details

NPI number 1720248099
LBN Legal business name Wilson, Stacie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2008
Last updated Dec 28th, 2010 - about 15 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 1720248099 NPPES
North Carolina MEDICAID 6601812
North Carolina MEDICAID 6601780

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