Stentoumis, Jason G

Stentoumis, Jason G is an sole proprietor health care provider with primary practice located at 4572 S Hagadorn Rd Ste 2B , East Lansing MI 48823-5385. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Stentoumis, Jason G can be contacted via phone (517) 999-3935.

Contact Information

Primary practice address
4572 S Hagadorn Rd Ste 2B East Lansing MI 48823-5385
Phone: (517) 999-3935
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301013410 Michigan

Profile Details

NPI number 1730375106
LBN Legal business name Stentoumis, Jason G
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2007
Last updated Nov 8th, 2019 - about 6 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 1730375106 NPPES
Michigan Other 680C315670 BLUE SHIELD OF MICHIGAN

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