Fredrick, Stephanie

Fredrick, Stephanie is an individual health care provider with primary practice located at 1101 Health Professions Bldg , Mt Pleasant MI 48859-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Fredrick, Stephanie can be contacted via phone (989) 774-3904.

Contact Information

Primary practice address
1101 Health Professions Bldg Mt Pleasant MI 48859-0001
Phone: (989) 774-3904
Fax: (989) 774-1891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 6301016859 Michigan

Profile Details

NPI number 1699223214
LBN Legal business name Fredrick, Stephanie
Credentials PHD, LLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2016
Last updated Sep 12th, 2016 - about 9 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 1699223214 NPPES
Michigan Other 6301016859 STATE LICENSE

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