Juno, Stephanie A

Juno, Stephanie A is an individual health care provider with primary practice located at 235 Wealthy St Se , Grand Rapids MI 49503-5247. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Juno, Stephanie A can be contacted via phone (616) 840-8000.

Contact Information

Primary practice address
235 Wealthy St Se Grand Rapids MI 49503-5247
Phone: (616) 840-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5201008757 Michigan

Profile Details

NPI number 1669714689
LBN Legal business name Juno, Stephanie A
Credentials MS OTR
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2013
Last updated Mar 17th, 2018 - about 8 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 1669714689 NPPES
Kansas MEDICAID 100011530D

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