Shoup, Stacy Sloan
Shoup, Stacy Sloan is an sole proprietor health care provider with primary practice located at 270 Sterkel Blvd , Mansfield OH 44907-1508. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Shoup, Stacy Sloan can be contacted via phone (419) 526-6168.Contact Information
Primary practice address
270 Sterkel Blvd
Mansfield OH 44907-1508
Phone: (419) 526-6168
Fax: (419) 526-2753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 975906 | Ohio |
Profile Details
| NPI number | 1093865818 |
|---|---|
| LBN Legal business name | Shoup, Stacy Sloan |
| Credentials | CCDC1 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 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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