Stubbs, Kevin Michael

Stubbs, Kevin Michael is an individual health care provider with primary practice located at 548 Se Jackson St , Roseburg OR 97470-4983. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Stubbs, Kevin Michael can be contacted via phone (541) 440-3532.

Contact Information

Primary practice address
548 Se Jackson St Roseburg OR 97470-4983
Phone: (541) 440-3532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1659070134
LBN Legal business name Stubbs, Kevin Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2023
Last updated May 18th, 2023 - 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.

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