Fanolis, Stephen

Fanolis, Stephen is an individual health care provider with primary practice located at 117 Park Ave Ste 205 , West Springfield MA 01089-3371. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fanolis, Stephen can be contacted via phone (413) 276-6304.

Contact Information

Primary practice address
117 Park Ave Ste 205 West Springfield MA 01089-3371
Phone: (413) 276-6304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1548520604
LBN Legal business name Fanolis, Stephen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2012
Last updated Jun 24th, 2026 - about 5 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548520604 NPPES
Massachusetts MEDICAID 1300881

Popular Providers