Individual ProviderStephanie SobolNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4030 Smith Rd, Suite 375, Cincinnati, OH 45209-1957(513) 221-4848(513) 853-4749PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Sobol is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1811369283Provider TypeIndividualFull NameSobol, StephanieGenderFemaleSole ProprietorNoEnumeration Date10/26/2015Last Updated11/2/2015Contact InformationPractice LocationPractice Address4030 Smith Rd, Suite 375, Cincinnati, OH 45209-1957Phone(513) 221-4848Fax(513) 872-7828Mailing LocationMailing AddressPO Box 637783, Cincinnati, OH 45263-7783Phone(513) 853-4749Fax(513) 853-4740Provider TaxonomiesCodeDescriptionLicenseCode363LA2100XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseCOA.18090-NPOhioProvider IdentifiersIDDescriptionIssuerIDRN-293618-1DescriptionOtherIssuerREGISTERED NURSEOhio