Jallen, Stephanie

Jallen, Stephanie is an sole proprietor health care provider with primary practice located at 900 E Broadway Ave , Bismarck ND 58501-4520. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Jallen, Stephanie can be contacted via phone (701) 530-7300.

Contact Information

Primary practice address
900 E Broadway Ave Bismarck ND 58501-4520
Phone: (701) 530-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 13695 North Dakota
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME116874 Florida

Profile Details

NPI number 1245541895
LBN Legal business name Jallen, Stephanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2010
Last updated Sep 11th, 2015 - about 10 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 1245541895 NPPES
North Dakota MEDICAID 81891

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