Lander, Stephen King
Lander, Stephen King is an sole proprietor health care provider with primary practice located at 71687 Highway 111 Ste 205 , Rancho Mirage CA 92270-4515. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Lander, Stephen King can be contacted via phone (612) 205-4576.Contact Information
Primary practice address
71687 Highway 111 Ste 205
Rancho Mirage CA 92270-4515
Phone: (612) 205-4576
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LMFT #834 | Minnesota |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MA LP #3316 | Minnesota |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 20572 | California |
Profile Details
| NPI number | 1063560365 |
|---|---|
| LBN Legal business name | Lander, Stephen King |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Mar 10th, 2021 - about 5 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 | 1063560365 | NPPES |
| Other | 41-1836968 | FED TAX ID |
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