Spicer, Stefanie Marie

Spicer, Stefanie Marie is an sole proprietor health care provider with primary practice located at 1320 Mercy Dr Nw , Canton OH 44708-2614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Spicer, Stefanie Marie can be contacted via phone (330) 489-1000.

Contact Information

Primary practice address
1320 Mercy Dr Nw Canton OH 44708-2614
Phone: (330) 489-1000
Fax: (330) 471-5937
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN251257/ NP05095 Ohio

Profile Details

NPI number 1972682912
LBN Legal business name Spicer, Stefanie Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Mar 30th, 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 1972682912 NPPES
Other 501710 ANTHEM/BCBS
Other 000000342106 ANTHEM/BCBS
Other P00379956 ANTHEM/BCBS
MEDICAID 2525753 ANTHEM/BCBS
MEDICAID 2544616 ANTHEM/BCBS
Other P00185489 ANTHEM/BCBS

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