Martin, Stacey A

Martin, Stacey A is an individual health care provider with primary practice located at 436 Graham Rd , Cuyahoga Falls OH 44221-1302. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Martin, Stacey A can be contacted via phone (330) 922-0114.

Contact Information

Primary practice address
436 Graham Rd Cuyahoga Falls OH 44221-1302
Phone: (330) 922-0114
Fax: (330) 922-4202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36003143 Ohio

Profile Details

NPI number 1558384289
LBN Legal business name Martin, Stacey A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Apr 24th, 2015 - about 11 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 1558384289 NPPES
Ohio Other 34-1926954 TAX ID - GDS INC.
Ohio MEDICAID 2201692 TAX ID - GDS INC.
Ohio Other 480032643 TAX ID - GDS INC.
Ohio Other 34-1926955 TAX ID - GDS INC.

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