Fugazzi, Alissa Jan Stein
Fugazzi, Alissa Jan Stein is an sole proprietor health care provider with primary practice located at 3001B 32Nd Ave S Ste 2B , Grand Forks ND 58201-6068. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fugazzi, Alissa Jan Stein can be contacted via phone (701) 747-0770.Contact Information
Primary practice address
3001B 32Nd Ave S Ste 2B
Grand Forks ND 58201-6068
Phone: (701) 747-0770
Fax: (701) 425-0524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3664 | North Dakota |
Profile Details
| NPI number | 1447447511 |
|---|---|
| LBN Legal business name | Fugazzi, Alissa Jan Stein |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2007 |
| Last updated | Apr 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447447511 | NPPES |
| North Dakota | MEDICAID | 1457035 |
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