Stackhouse, Michelle Lois

Stackhouse, Michelle Lois is an sole proprietor health care provider with primary practice located at 5736 East Blvd Nw , Canton OH 44718-1655. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Stackhouse, Michelle Lois can be contacted via phone (330) 806-1953.

Contact Information

Primary practice address
5736 East Blvd Nw Canton OH 44718-1655
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 00030 Ohio

Profile Details

NPI number 1396229027
LBN Legal business name Stackhouse, Michelle Lois
Credentials PEER SUPPORT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2018
Last updated Sep 19th, 2018 - about 8 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 1396229027 NPPES
Ohio Other 34-1575839 ICAN, INC.

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