Mrs. Stacey Vanlue
Dental Hygienist
22721 Diamond Cove St
Cassopolis
, Michigan 49031-9711
Mrs. Stacey Vanlue
Dental Hygienist
22721 Diamond Cove St
Cassopolis
, Michigan 49031-9711
(269) 445-9355
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Mrs. Stacey Vanlue
- 22721 Diamond Cove St
- Cassopolis, MI
- Zip : 49031-9711
- Phone : (269) 445-9355
Second Address
- Mrs. Stacey Vanlue
- 22721 Diamond Cove St
- Cassopolis, MI
- Zip : 49031-9711
- Phone : (269) 445-9355
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902015195 | MI |
National Provider Identifier
| NPI | 1053784884 |
|---|---|
| Provider Name | Mrs. Stacey Vanlue |
| First Address | Cassopolis, MI 49031-9711 |
| Second Address | Cassopolis, MI 49031-9711 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2015 |
| Last Update Date | 02/11/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.