Martin, Stacey A
Martin, Stacey A is an individual health care provider with primary practice located at 436 Graham Rd , Cuyahoga Falls OH 44221-1302. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Martin, Stacey A can be contacted via phone (330) 922-0114.Contact Information
Primary practice address
436 Graham Rd
Cuyahoga Falls OH 44221-1302
Phone: (330) 922-0114
Fax: (330) 922-4202
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 36003143 | Ohio |
Profile Details
NPI number | 1558384289 |
---|---|
LBN Legal business name | Martin, Stacey A |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2006 |
Last updated | Apr 24th, 2015 - about 9 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 | 1558384289 | NPPES |
Ohio | Other | 34-1926954 | TAX ID - GDS INC. |
Ohio | MEDICAID | 2201692 | TAX ID - GDS INC. |
Ohio | Other | 480032643 | TAX ID - GDS INC. |
Ohio | Other | 34-1926955 | TAX ID - GDS INC. |
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