Scudder, Stacy L
Scudder, Stacy L is an individual health care provider with primary practice located at 6201 Gender Rd , Canal Winchester OH 43110-2007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Scudder, Stacy L can be contacted via phone (614) 834-8042.Contact Information
Primary practice address
6201 Gender Rd
Canal Winchester OH 43110-2007
Phone: (614) 834-8042
Fax: (614) 837-8035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34.007025 | Ohio |
Profile Details
| NPI number | 1598707515 |
|---|---|
| LBN Legal business name | Scudder, Stacy L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jan 19th, 2010 - about 16 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 | 1598707515 | NPPES |
| Ohio | MEDICAID | 2191748 |
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