Hollaway, Stacey
Hollaway, Stacey is an individual health care provider with primary practice located at 4810 Munson St Nw , Canton OH 44718-3613. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Hollaway, Stacey can be contacted via phone (330) 499-3377.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-062821H | Ohio |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-062821H | Ohio |
Profile Details
NPI number | 1922064906 |
---|---|
LBN Legal business name | Hollaway, Stacey |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2006 |
Last updated | Aug 21st, 2012 - about 12 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 | 1922064906 | NPPES |
Ohio | MEDICAID | 0888615 |
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