Blust, Stephanie Marie

Blust, Stephanie Marie is an sole proprietor health care provider with primary practice located at 323 N Broad St , Fairborn OH 45324-4934. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Blust, Stephanie Marie can be contacted via phone (937) 318-8103.

Contact Information

Primary practice address
323 N Broad St Fairborn OH 45324-4934
Phone: (937) 318-8103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1639768963
LBN Legal business name Blust, Stephanie Marie
Credentials QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2021
Last updated Jan 12th, 2021 - about 4 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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