Stidhum, Anthony

Stidhum, Anthony is an sole proprietor health care provider with primary practice located at 2677 Zoe Ave Ste 304 , Huntington Park CA 90255-3699. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Other Service Providers / Peer Specialist is his primary health care specialty. Stidhum, Anthony can be contacted via phone (323) 346-0960.

Contact Information

Primary practice address
2677 Zoe Ave Ste 304 Huntington Park CA 90255-3699
Phone: (323) 346-0960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1346020591
LBN Legal business name Stidhum, Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2023
Last updated Oct 4th, 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.

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