Mitchell, Stacey

Mitchell, Stacey is an sole proprietor health care provider with primary practice located at 521 S 2Nd St , Greenfield OH 45123-1605. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Mitchell, Stacey can be contacted via phone (937) 981-0107.

Contact Information

Primary practice address
521 S 2Nd St Greenfield OH 45123-1605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1922495845
LBN Legal business name Mitchell, Stacey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2015
Last updated Apr 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922495845 NPPES
Ohio MEDICAID 3142361

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