Baccaray, Stella

Baccaray, Stella is an individual health care provider with primary practice located at 6125 S Broadway , Lorain OH 44053-3820. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Baccaray, Stella can be contacted via phone (440) 233-8181.

Contact Information

Primary practice address
6125 S Broadway Lorain OH 44053-3820
Phone: (440) 233-8181
Fax: (440) 233-8182
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X NA06597 Ohio

Profile Details

NPI number 1396738852
LBN Legal business name Baccaray, Stella
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 9th, 2007 - about 19 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 1396738852 NPPES
Ohio MEDICAID 2011656

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