Heelan, Stephen Craig

Heelan, Stephen Craig is an sole proprietor health care provider with primary practice located at 3540 Forest Hill Blvd Suite 112 F, West Palm Beach FL 33406-5878. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Heelan, Stephen Craig can be contacted via phone (561) 252-1952.

Contact Information

Primary practice address
3540 Forest Hill Blvd Suite 112 F West Palm Beach FL 33406-5878
Phone: (561) 252-1952
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 10644 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 004947 New York

Profile Details

NPI number 1336452754
LBN Legal business name Heelan, Stephen Craig
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2010
Last updated Feb 20th, 2015 - about 11 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 1336452754 NPPES
Florida MEDICAID 002775400
Florida Other 004947
Florida Other MH10644

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