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
Fax: (734) 845-3462
Website:

Health care specialties

SpecialtyCodeLicense #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 11 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 1669770137 NPPES
Michigan Other VA0506. MEDICARE IDENTIFICATION NUMBER

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