Staus, Mary E
Staus, Mary E is an individual health care provider with primary practice located at 6046 Whipple Ave Nw , North Canton OH 44720-7616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Staus, Mary E can be contacted via phone (330) 433-1353.Contact Information
Primary practice address
6046 Whipple Ave Nw
North Canton OH 44720-7616
Phone: (330) 433-1353
Fax: (330) 433-1560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35048595 | Ohio |
Profile Details
| NPI number | 1568439024 |
|---|---|
| LBN Legal business name | Staus, Mary E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Feb 17th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568439024 | NPPES |
| Ohio | MEDICAID | 0625621 |
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