Memberg, Stacey J.P.
Memberg, Stacey J.P. is an individual health care provider with primary practice located at 4015 Medina Rd Ste 50 , Medina OH 44256-5970. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Memberg, Stacey J.P. can be contacted via phone (330) 723-7005.Contact Information
Primary practice address
4015 Medina Rd Ste 50
Medina OH 44256-5970
Phone: (330) 723-7005
Fax: (330) 723-4854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35077164 | Ohio |
Profile Details
| NPI number | 1235235003 |
|---|---|
| LBN Legal business name | Memberg, Stacey J.P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 26th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235235003 | NPPES |
| Ohio | MEDICAID | 2196565 |
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