Stover, Joanna Schafhausen

Stover, Joanna Schafhausen is an individual health care provider with primary practice located at 1721 21St St , Santa Monica CA 90404-3916. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Stover, Joanna Schafhausen can be contacted via phone (310) 829-7391.

Contact Information

Primary practice address
1721 21St St Santa Monica CA 90404-3916
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1477917771
LBN Legal business name Stover, Joanna Schafhausen
Credentials MS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2016
Last updated May 9th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477917771 NPPES
California Other 060802156 BOARD OF CERTIFICATION

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