Devol, Stacy Lea

Devol, Stacy Lea is an sole proprietor health care provider with primary practice located at 400 Matthew St Ste 401 , Marietta OH 45750-1656. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Devol, Stacy Lea can be contacted via phone (740) 374-2252.

Contact Information

Primary practice address
400 Matthew St Ste 401 Marietta OH 45750-1656
Phone: (740) 374-2252
Fax: (740) 374-4974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 364SC0200X COA.13383-NS Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X APRN.CNS.13383 Ohio

Profile Details

NPI number 1164865465
LBN Legal business name Devol, Stacy Lea
Credentials CCNS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2013
Last updated Jul 16th, 2021 - about 3 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 1164865465 NPPES
Ohio MEDICAID 0101019
Ohio MEDICAID 3810027353

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