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Contact Information

CHARCY R STILLER, MARTN, LAT, ATC
1 UNF DR.
JACKSONVILLE, FL32224
 Phone: 541-591-2318
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for CHARCY R STILLER · (Female)

NPI Number 1124685102
Status Active
Credentials MARTN, LAT, ATC
Entity Individual
Enumeration date 05/24/2019
Last updated 05/24/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # AL5354
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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