Gilquist, Stephanie Oreen

Gilquist, Stephanie Oreen is an sole proprietor health care provider with primary practice located at 11400 Julianne Ave N , Stillwater MN 55082-9436. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gilquist, Stephanie Oreen can be contacted via phone (651) 426-3300.

Contact Information

Primary practice address
11400 Julianne Ave N Stillwater MN 55082-9436
Fax: (651) 426-0419
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 301918 Minnesota

Profile Details

NPI number 1659664209
LBN Legal business name Gilquist, Stephanie Oreen
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2011
Last updated May 16th, 2011 - about 15 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 1659664209 NPPES
Minnesota Other 301918 BOARD OF BEHAVIORAL HEALTH AND THERAPY

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