Stanford, Karen

Stanford, Karen is an individual health care provider with primary practice located at 751 E Grand Blvd , Detroit MI 48207-2529. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stanford, Karen can be contacted via phone (313) 922-2222.

Contact Information

Primary practice address
751 E Grand Blvd Detroit MI 48207-2529
Phone: (313) 922-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 4704204295 Michigan

Profile Details

NPI number 1699283234
LBN Legal business name Stanford, Karen
Credentials RN BSN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2018
Last updated Jan 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 1699283234 NPPES
Michigan MEDICAID 1558493916

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