Lacey, Steven

Lacey, Steven is an individual health care provider with primary practice located at 2213 Cherry St , Toledo OH 43608-2603. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as his primary health care specialty. Lacey, Steven can be contacted via phone (419) 251-4336.

Contact Information

Primary practice address
2213 Cherry St Toledo OH 43608-2603
Phone: (419) 251-4336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X COA.16478-NP Ohio

Profile Details

NPI number 1104229210
LBN Legal business name Lacey, Steven
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2014
Last updated Jan 13th, 2017 - about 9 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 1104229210 NPPES
Ohio MEDICAID 0119417

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