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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447447511 NPPES
North Dakota MEDICAID 1457035

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