Heidorf, Stephen R

Heidorf, Stephen R is an individual health care provider with primary practice located at 22001 Fairmount Blvd , Shaker Hts OH 44118. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Heidorf, Stephen R can be contacted via phone (216) 320-8438.

Contact Information

Primary practice address
22001 Fairmount Blvd Shaker Hts OH 44118
Phone: (216) 320-8438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1900863-TRNE Ohio

Profile Details

NPI number 1205392198
LBN Legal business name Heidorf, Stephen R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2019
Last updated Aug 26th, 2019 - about 5 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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