Stoudmire, Aliceson J

Stoudmire, Aliceson J is an individual health care provider with primary practice located at 536 Saybolt Ave , Wooster OH 44691-3445. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Stoudmire, Aliceson J can be contacted via phone (330) 317-5576.

Contact Information

Primary practice address
536 Saybolt Ave Wooster OH 44691-3445
Phone: (330) 317-5576
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1063767481
LBN Legal business name Stoudmire, Aliceson J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2012
Last updated Jul 23rd, 2012 - about 14 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 1063767481 NPPES
Ohio MEDICAID 0057331

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