Stevens, Angel

Stevens, Angel is an sole proprietor health care provider with primary practice located at 2550 Lawlor Rd , Fairbanks AK 99709-6458. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stevens, Angel can be contacted via phone (907) 455-4725.

Contact Information

Primary practice address
2550 Lawlor Rd Fairbanks AK 99709-6458
Fax: (907) 455-4730
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CERTIFICATE 3215 Alaska

Profile Details

NPI number 1528263787
LBN Legal business name Stevens, Angel
Credentials CT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2007
Last updated Jul 9th, 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 1528263787 NPPES
Alaska MEDICAID DA4437

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