Hudepohl, Stacy Ellen

Hudepohl, Stacy Ellen is an individual health care provider with primary practice located at 4834 Socialville Foster Rd Ste 60 , Mason OH 45040-6805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Hudepohl, Stacy Ellen can be contacted via phone (513) 561-8405.

Contact Information

Primary practice address
4834 Socialville Foster Rd Ste 60 Mason OH 45040-6805
Phone: (513) 561-8405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 05759NM Ohio

Profile Details

NPI number 1669666871
LBN Legal business name Hudepohl, Stacy Ellen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Feb 21st, 2020 - about 6 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 1669666871 NPPES
Ohio MEDICAID 2260673

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