Fullenkamp, Stacy Lynn
Fullenkamp, Stacy Lynn is an sole proprietor health care provider with primary practice located at 1708 Marby Dr , Troy OH 45373-9274. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Fullenkamp, Stacy Lynn can be contacted via phone (937) 469-1858.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 374U00000X | Ohio |
Profile Details
| NPI number | 1427654615 |
|---|---|
| LBN Legal business name | Fullenkamp, Stacy Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2020 |
| Last updated | Dec 11th, 2020 - about 5 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 | 1427654615 | NPPES |
| Ohio | MEDICAID | 5505141 |
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