Beadle, Stacy Marie
Beadle, Stacy Marie is an sole proprietor health care provider with primary practice located at 2398 Brick House Ln , Fairfield OH 45014-4542. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Beadle, Stacy Marie can be contacted via phone (513) 829-3378.Contact Information
Primary practice address
2398 Brick House Ln
Fairfield OH 45014-4542
Phone: (513) 829-3378
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1740390780 |
|---|---|
| LBN Legal business name | Beadle, Stacy Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740390780 | NPPES |
| Ohio | MEDICAID | 2440086 |
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