King, Stephen R.

King, Stephen R. is an sole proprietor health care provider with primary practice located at 9638 Carine Cv , Fort Wayne IN 46835-9372. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. King, Stephen R. can be contacted via phone (260) 485-2854.

Contact Information

Primary practice address
9638 Carine Cv Fort Wayne IN 46835-9372
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35000875A Indiana

Profile Details

NPI number 1841337763
LBN Legal business name King, Stephen R.
Credentials M.S. IN ED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jun 29th, 2024 - about 5 months 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 1841337763 NPPES
Indiana Other 35000875A LMFT

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