Slack, Stacy

Slack, Stacy is an individual health care provider with primary practice located at 21225 Lorain Rd , Fairview Park OH 44126-2120. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Slack, Stacy can be contacted via phone (440) 331-3180.

Contact Information

Primary practice address
21225 Lorain Rd Fairview Park OH 44126-2120
Phone: (440) 331-3180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT 002032 Ohio

Profile Details

NPI number 1255491916
LBN Legal business name Slack, Stacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Oct 1st, 2013 - about 11 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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