Leach, Stacy
Leach, Stacy is an sole proprietor health care provider with primary practice located at 285 Linden Dr , Centerville OH 45459-4565. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Leach, Stacy can be contacted via phone (937) 231-4694.Contact Information
Primary practice address
285 Linden Dr
Centerville OH 45459-4565
Phone: (937) 231-4694
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | 0358754 | Ohio |
Profile Details
| NPI number | 1407463359 |
|---|---|
| LBN Legal business name | Leach, Stacy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2020 |
| Last updated | Sep 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407463359 | NPPES |
| Ohio | MEDICAID | 0358754 |
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