Backman, Stephanie Ann

Backman, Stephanie Ann is an sole proprietor health care provider with primary practice located at 165 Rt 6A , Orleans MA 02653-3267. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Backman, Stephanie Ann can be contacted via phone (508) 255-2322.

Contact Information

Primary practice address
165 Rt 6A Orleans MA 02653-3267
Fax: (508) 255-2399
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 105922 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1003981101
LBN Legal business name Backman, Stephanie Ann
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1003981101 NPPES
Massachusetts Other 105922 LICENSEDINDEPCLIN SOCIALW

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