Stevens, Norman Ray
Stevens, Norman Ray is an individual health care provider with primary practice located at 337 N. Navajo Drive , Page AZ 86040. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Stevens, Norman Ray can be contacted via phone (928) 645-6840.Contact Information
Primary practice address
337 N. Navajo Drive
Page AZ 86040
Phone: (928) 645-6840
Fax: (928) 645-8158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-11673 | Arizona |
Profile Details
| NPI number | 1053341461 |
|---|---|
| LBN Legal business name | Stevens, Norman Ray |
| Credentials | LISAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Nov 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053341461 | NPPES |
| Arizona | MEDICAID | 972605 |
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