Churchill, Stephen Paul

Churchill, Stephen Paul is an individual health care provider with primary practice located at 2945 N 11Th St , Bismarck ND 58503-0514. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Churchill, Stephen Paul can be contacted via phone (701) 258-7730.

Contact Information

Primary practice address
2945 N 11Th St Bismarck ND 58503-0514
Phone: (701) 258-7730
Fax: (701) 258-7803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1063 North Dakota

Profile Details

NPI number 1407807464
LBN Legal business name Churchill, Stephen Paul
Credentials PT/APT
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 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 1407807464 NPPES
North Dakota Other 26174 BCBS OF ND
North Dakota MEDICAID 51672 BCBS OF ND

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