Patrick, Steven R
Patrick, Steven R is an individual health care provider with primary practice located at 617 N Humphreys St Suite 101, Flagstaff AZ 86001-3063. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Patrick, Steven R can be contacted via phone (928) 779-3783.Contact Information
Primary practice address
617 N Humphreys St Suite 101
Flagstaff AZ 86001-3063
Phone: (928) 779-3783
Fax: (928) 773-1150
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3396 | Arizona |
Profile Details
NPI number | 1396714192 |
---|---|
LBN Legal business name | Patrick, Steven R |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2006 |
Last updated | Mar 27th, 2008 - about 17 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 | 1396714192 | NPPES |
Arizona | MEDICAID | 533390 |
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