Shoemaker, Stacey J

Shoemaker, Stacey J is an individual health care provider with primary practice located at 4440 Glen Este Withamsville Rd Suite 100, Cincinnati OH 45245-1318. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Shoemaker, Stacey J can be contacted via phone (513) 354-5735.

Contact Information

Primary practice address
4440 Glen Este Withamsville Rd Suite 100 Cincinnati OH 45245-1318
Phone: (513) 354-5735
Fax: (513) 753-7930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E-0003347 Ohio

Profile Details

NPI number 1083689210
LBN Legal business name Shoemaker, Stacey J
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
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 1083689210 NPPES
Ohio MEDICAID 01183

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