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Contact Information

STEPHANIE HAIRSTON
912 BROOKDALE ST
STE 2
MARTINSVILLE, VA24112
 Phone: 276-336-8649
 Fax: 276-336-8758
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for STEPHANIE HAIRSTON · (Female)

NPI Number 1639610686
Status Active
Credentials
Entity Individual
Enumeration date 03/10/2017
Last updated 03/10/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 534
  • VA Medicaid 343900000X
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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