Stamp, Elizabeth Diane
Stamp, Elizabeth Diane is an sole proprietor health care provider with primary practice located at 15082 Lakeview , Fenton MI 48430-1328. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stamp, Elizabeth Diane can be contacted via phone (734) 845-5500.Contact Information
Primary practice address
15082 Lakeview
Fenton MI 48430-1328
Phone: (734) 845-5500
Fax: (734) 845-3462
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801091086 | Michigan |
Profile Details
NPI number | 1669770137 |
---|---|
LBN Legal business name | Stamp, Elizabeth Diane |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 2011 |
Last updated | May 3rd, 2013 - about 12 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 | 1669770137 | NPPES |
Michigan | Other | VA0506. | MEDICARE IDENTIFICATION NUMBER |
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