Stevens, Angel
Stevens, Angel is an sole proprietor health care provider with primary practice located at 2550 Lawlor Rd , Fairbanks AK 99709-6458. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stevens, Angel can be contacted via phone (907) 455-4725.Contact Information
Primary practice address
2550 Lawlor Rd
Fairbanks AK 99709-6458
Phone: (907) 455-4725
Fax: (907) 455-4730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CERTIFICATE 3215 | Alaska |
Profile Details
| NPI number | 1528263787 |
|---|---|
| LBN Legal business name | Stevens, Angel |
| Credentials | CT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1528263787 | NPPES |
| Alaska | MEDICAID | DA4437 |
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