Erwin, Stephanie

Erwin, Stephanie is an sole proprietor health care provider with primary practice located at 4570 Saint Johns Ave Suite 3, Jacksonville FL 32210-1848. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Erwin, Stephanie can be contacted via phone (904) 389-5231.

Contact Information

Primary practice address
4570 Saint Johns Ave Suite 3 Jacksonville FL 32210-1848
Phone: (904) 389-5231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1821356460
LBN Legal business name Erwin, Stephanie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2012
Last updated May 2nd, 2012 - about 14 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 1821356460 NPPES
Florida MEDICAID 360358001

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