Stallings, Craig

Stallings, Craig is an individual health care provider with primary practice located at 3815 Harrison Ave , Rockford IL 61108-7631. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Stallings, Craig can be contacted via phone (815) 391-1000.

Contact Information

Primary practice address
3815 Harrison Ave Rockford IL 61108-7631
Phone: (815) 391-1000
Fax: (815) 391-5040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 180-005764 Illinois

Profile Details

NPI number 1447522750
LBN Legal business name Stallings, Craig
Credentials L.C.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2012
Last updated Feb 1st, 2012 - about 14 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 1447522750 NPPES
Illinois Other 15203 C.A.D.C.

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