Stahl, John Roderick

Stahl, John Roderick is an sole proprietor health care provider with primary practice located at 7 Dean St , Taunton MA 02780-2725. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Stahl, John Roderick can be contacted via phone (508) 822-0006.

Contact Information

Primary practice address
7 Dean St Taunton MA 02780-2725
Fax: (508) 880-5389
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1830 Massachusetts

Profile Details

NPI number 1194827634
LBN Legal business name Stahl, John Roderick
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194827634 NPPES
Massachusetts Other 94690 MHN
Massachusetts Other 000953 MHN
Massachusetts Other 000953 MHN
Massachusetts Other 5904732 MHN
Massachusetts Other S018364 MHN
Massachusetts Other 61-09958 MHN
Massachusetts Other STW02009 MHN
Massachusetts MEDICAID 0503080 MHN
Massachusetts Other 705734 MHN
Massachusetts Other 213470 MHN
Massachusetts Other 30261-0 MHN

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