Fabick, Stephen Dillon
Fabick, Stephen Dillon is an individual health care provider with primary practice located at 640 N Old Woodward Ave Suite 201, Birmingham MI 48009-3881. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fabick, Stephen Dillon can be contacted via phone (248) 258-9288.Contact Information
Primary practice address
640 N Old Woodward Ave Suite 201
Birmingham MI 48009-3881
Phone: (248) 258-9288
Fax: (248) 258-5187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301002475 | Michigan |
Profile Details
| NPI number | 1366431587 |
|---|---|
| LBN Legal business name | Fabick, Stephen Dillon |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366431587 | NPPES |
| Michigan | Other | 99127 | MANAGED HEALTH NETWORK |
| Michigan | Other | 0 F3 4657 | MANAGED HEALTH NETWORK |
| Michigan | Other | 0001011251 | MANAGED HEALTH NETWORK |
| Michigan | Other | 56941 | MANAGED HEALTH NETWORK |
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