Clutter, Staci Leigh
Clutter, Staci Leigh is an individual health care provider with primary practice located at 801 Medical Dr Ste A , Lima OH 45804-4030. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Clutter, Staci Leigh can be contacted via phone (419) 222-6622.Contact Information
Primary practice address
801 Medical Dr Ste A
Lima OH 45804-4030
Phone: (419) 222-6622
Fax: (419) 224-0015
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
NPI number | 1679054464 |
---|---|
LBN Legal business name | Clutter, Staci Leigh |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 28th, 2018 |
Last updated | Feb 21st, 2019 - about 6 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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