Ross, Stephen Gerard
Ross, Stephen Gerard is an sole proprietor health care provider with primary practice located at 4630 W Jefferson Blvd Ste 5 , Fort Wayne IN 46804-6800. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ross, Stephen Gerard can be contacted via phone (260) 436-4100.Contact Information
Primary practice address
4630 W Jefferson Blvd Ste 5
Fort Wayne IN 46804-6800
Phone: (260) 436-4100
Fax: (260) 432-6282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040536A | Indiana |
Profile Details
| NPI number | 1467458695 |
|---|---|
| LBN Legal business name | Ross, Stephen Gerard |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Apr 14th, 2008 - about 18 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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