Blad, Stephen L
Blad, Stephen L is an individual health care provider with primary practice located at 125 Crestridge St , Fort Collins CO 80525-3934. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blad, Stephen L can be contacted via phone (970) 494-4200.Contact Information
Primary practice address
125 Crestridge St
Fort Collins CO 80525-3934
Phone: (970) 494-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY.0003207 | Colorado |
Profile Details
| NPI number | 1144339821 |
|---|---|
| LBN Legal business name | Blad, Stephen L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144339821 | NPPES |
| Colorado | Other | COA105768 | MEDICARE PTAN |
| Colorado | MEDICAID | 89678257 | MEDICARE PTAN |
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