Ardoin, Stacy Payne

Ardoin, Stacy Payne is an individual health care provider with primary practice located at 555 S 18Th St , Columbus OH 43205-2654. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is her primary health care specialty. Ardoin, Stacy Payne can be contacted via phone (614) 722-2000.

Contact Information

Primary practice address
555 S 18Th St Columbus OH 43205-2654
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 35075002 Ohio
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 35075002 Ohio

Profile Details

NPI number 1417971086
LBN Legal business name Ardoin, Stacy Payne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Feb 22nd, 2022 - about 2 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 1417971086 NPPES
Ohio Other H138151-OSU CGS - MEDICARE
Ohio Other H138151 CGS - MEDICARE
Ohio MEDICAID 2246608 CGS - MEDICARE

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