Bumgardner, Stephanie A

Bumgardner, Stephanie A is an sole proprietor health care provider with primary practice located at 1526 30Th St Nw , Bemidji MN 56601-4140. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bumgardner, Stephanie A can be contacted via phone (218) 751-0887.

Contact Information

Primary practice address
1526 30Th St Nw Bemidji MN 56601-4140
Phone: (218) 751-0887
Fax: (218) 759-4807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16568 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16568 Minnesota

Profile Details

NPI number 1306080197
LBN Legal business name Bumgardner, Stephanie A
Credentials M.S.W., L.I.C.S.W
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2009
Last updated Mar 30th, 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.

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