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Contact Information

STACIE NWABUEZE, PHD
3050 CHARLES DR
JACKSON, LA70748-6135
 Phone: 225-634-3517
 Fax: 225-634-5057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for STACIE NWABUEZE · (Female)

NPI # 1619353406
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/04/2015
Last updated 08/04/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • LA License # LRC-790
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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