Smith, Stephen William

Smith, Stephen William is an sole proprietor health care provider with primary practice located at 1021 N Mulford Rd Suite 1, Rockford IL 61107-3877. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Smith, Stephen William can be contacted via phone (815) 708-4768.

Contact Information

Primary practice address
1021 N Mulford Rd Suite 1 Rockford IL 61107-3877
Phone: (815) 708-4768
Fax: (815) 394-1401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 25850 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.006369 Illinois

Profile Details

NPI number 1326364845
LBN Legal business name Smith, Stephen William
Credentials MS,LPC,CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2010
Last updated Jun 14th, 2010 - about 15 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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