Jeffries, Stephanie Page
Jeffries, Stephanie Page is an sole proprietor health care provider with primary practice located at 3003 Dawn Dr Ste 108 , Georgetown TX 78628-2800. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jeffries, Stephanie Page can be contacted via phone (512) 658-5438.Contact Information
Primary practice address
3003 Dawn Dr Ste 108
Georgetown TX 78628-2800
Phone: (512) 658-5438
Fax: (512) 863-9143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 15101 | Texas |
Profile Details
| NPI number | 1457436610 |
|---|---|
| LBN Legal business name | Jeffries, Stephanie Page |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Aug 29th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457436610 | NPPES |
| Texas | MEDICAID | 0282642/01 |
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