Huff, Stacie Jo

Huff, Stacie Jo is an individual health care provider with primary practice located at 919 2Nd St Ne , Canton OH 44704-1132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Huff, Stacie Jo can be contacted via phone (330) 453-3386.

Contact Information

Primary practice address
919 2Nd St Ne Canton OH 44704-1132
Phone: (330) 453-3386
Fax: (330) 453-2362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP07419 Ohio

Profile Details

NPI number 1285681502
LBN Legal business name Huff, Stacie Jo
Credentials CRNP, PMHS
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Oct 11th, 2012 - about 13 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 1285681502 NPPES
Ohio MEDICAID 2437652

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