Stephens, Jill
Stephens, Jill is an individual health care provider with primary practice located at 11070 183Rd Cir Nw , Elk River MN 55330-2842. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Stephens, Jill can be contacted via phone (763) 633-5111.Contact Information
Primary practice address
11070 183Rd Cir Nw
Elk River MN 55330-2842
Phone: (763) 633-5111
Fax: (763) 633-5112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP2602 | Minnesota |
Profile Details
| NPI number | 1013073899 |
|---|---|
| LBN Legal business name | Stephens, Jill |
| Credentials | LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Feb 28th, 2023 - about 3 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 | 1013073899 | NPPES |
| Minnesota | Other | 14772000 | MEDICAL ASSISTANCE |
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