Stacy A Betzer
Individual provider Active NPI Family Medicine Physician · Cecil, OH
NPI 1992391809 · NPPES record last updated Dec 15, 2020
Key facts
- NPI
- 1992391809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35.079429 (OH)
- Practice address
- 17095 County Rd 87
Cecil, OH 45821-9632 - Phone
- (419) 670-4675
- NPI assigned
- Dec 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.079429 | OH | Yes |
Addresses
Primary practice location
17095 County Rd 87
Cecil, OH 45821-9632
Mailing address
17095 County Rd 87
Cecil, OH 45821-9632
Phone (419) 670-4675
Other providers in Cecil, OH
- 3 Phase Endurance Training LLC
- 3 Phase Performance Therapy and Sports
- Seth Bidlack
- Jaclyn Carr
- Jama Cline
- Kandise Violet Fisher
- Larry Gross
All providers in Cecil, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.