Stillman, Shelly R
Stillman, Shelly R is an sole proprietor health care provider with primary practice located at 567 Madison St , Saint Charles MO 63301-2747. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Stillman, Shelly R can be contacted via phone (636) 795-5468.Contact Information
Primary practice address
567 Madison St
Saint Charles MO 63301-2747
Phone: (636) 795-5468
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 2016031782 | Missouri |
Profile Details
| NPI number | 1538616750 |
|---|---|
| LBN Legal business name | Stillman, Shelly R |
| Credentials | M.A,PLPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2016 |
| Last updated | Sep 6th, 2016 - about 10 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 | 1538616750 | NPPES |
| Missouri | MEDICAID | 2016031782 |
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