Peavy, Stanley Lamar

Peavy, Stanley Lamar is an sole proprietor health care provider with primary practice located at 11065 Grand Ave , Blue Ash OH 45242-2927. He recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as his primary health care specialty. Peavy, Stanley Lamar can be contacted via phone (513) 386-7801.

Contact Information

Primary practice address
11065 Grand Ave Blue Ash OH 45242-2927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1598006900
LBN Legal business name Peavy, Stanley Lamar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2013
Last updated Mar 9th, 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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