Ekstrom, Stephen

Ekstrom, Stephen is an individual health care provider with primary practice located at 484 Worcester St , Southbridge MA 01550-1409. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Ekstrom, Stephen can be contacted via phone (774) 318-1806.

Contact Information

Primary practice address
484 Worcester St Southbridge MA 01550-1409
Phone: (774) 318-1806
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1275264343
LBN Legal business name Ekstrom, Stephen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2022
Last updated Jun 20th, 2022 - about 2 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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