Mardis, Stacey

Mardis, Stacey is an sole proprietor health care provider with primary practice located at 630 E River St Department Of Emergency Medicine, Elyria OH 44035-5902. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Mardis, Stacey can be contacted via phone (440) 329-7450.

Contact Information

Primary practice address
630 E River St Department Of Emergency Medicine Elyria OH 44035-5902
Phone: (440) 329-7450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.121170 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.121170 Ohio

Profile Details

NPI number 1144532730
LBN Legal business name Mardis, Stacey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2010
Last updated Jul 1st, 2013 - 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.

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