Speck, Stacy M
Speck, Stacy M is an sole proprietor health care provider with primary practice located at 11100 Euclid Ave Rm B501 , Cleveland OH 44106-1716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Speck, Stacy M can be contacted via phone (216) 844-5741.Contact Information
Primary practice address
11100 Euclid Ave Rm B501
Cleveland OH 44106-1716
Phone: (216) 844-5741
Fax: (216) 844-5710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 209006587 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | .0032134 | Ohio |
Profile Details
| NPI number | 1366642860 |
|---|---|
| LBN Legal business name | Speck, Stacy M |
| Credentials | RD, RN, APN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | Nov 18th, 2022 - about 2 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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