Stevens, Katelyn Marie
Stevens, Katelyn Marie is an sole proprietor health care provider with primary practice located at 2801 C Court , Ashtabula OH 44004-4577. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Stevens, Katelyn Marie can be contacted via phone (440) 998-4210.Contact Information
Primary practice address
2801 C Court
Ashtabula OH 44004-4577
Phone: (440) 998-4210
Fax: (440) 998-6489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | E.2303737 | Ohio |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1679083059 |
|---|---|
| LBN Legal business name | Stevens, Katelyn Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2017 |
| Last updated | Sep 13th, 2024 - about 2 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 | 1679083059 | NPPES |
| Ohio | MEDICAID | 0388473 |
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