Anderson, Stacie Dyan
Anderson, Stacie Dyan is an sole proprietor health care provider with primary practice located at 5625 Ridge Rd , Parma OH 44129-2633. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Anderson, Stacie Dyan can be contacted via phone (440) 884-4100.Contact Information
Primary practice address
5625 Ridge Rd
Parma OH 44129-2633
Phone: (440) 884-4100
Fax: (440) 884-4742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 36.003622 | Ohio |
Profile Details
| NPI number | 1790079812 |
|---|---|
| LBN Legal business name | Anderson, Stacie Dyan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2011 |
| Last updated | Jun 6th, 2012 - about 13 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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