Staba, Edward

Staba, Edward is an individual health care provider with primary practice located at 2401 W Main St , Marion IL 62959-1188. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Staba, Edward can be contacted via phone (618) 997-5311.

Contact Information

Primary practice address
2401 W Main St Marion IL 62959-1188
Phone: (618) 997-5311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071.010207 Illinois

Profile Details

NPI number 1275164543
LBN Legal business name Staba, Edward
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2020
Last updated Jan 27th, 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.

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