Mcfadden, Stacy

Mcfadden, Stacy is an sole proprietor health care provider with primary practice located at 442 Wooster St , Pickerington OH 43147. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mcfadden, Stacy can be contacted via phone (740) 452-9095.

Contact Information

Primary practice address
442 Wooster St Pickerington OH 43147
Phone: (740) 452-9095
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 097197 Ohio

Profile Details

NPI number 1780897793
LBN Legal business name Mcfadden, Stacy
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Jul 8th, 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 1780897793 NPPES
Ohio MEDICAID 2311975

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