Illing, Stephen E
Illing, Stephen E is an individual health care provider with primary practice located at 2624 9Th Ave S , Fargo ND 58103-2350. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Illing, Stephen E can be contacted via phone (701) 298-4500.Contact Information
Primary practice address
2624 9Th Ave S
Fargo ND 58103-2350
Phone: (701) 298-4500
Fax: (701) 298-4400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1059 | North Dakota |
Profile Details
| NPI number | 1255348991 |
|---|---|
| LBN Legal business name | Illing, Stephen E |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255348991 | NPPES |
| North Dakota | Other | 015105 | BCBS OF ND PIN |
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