Stevenson, Jill L
Stevenson, Jill L is an sole proprietor health care provider with primary practice located at 2801 C Ct Unit 1 , Ashtabula OH 44004-4578. 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. Stevenson, Jill L can be contacted via phone (440) 998-0722.Contact Information
Primary practice address
2801 C Ct Unit 1
Ashtabula OH 44004-4578
Phone: (440) 998-0722
Fax: (440) 992-1699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.120032 | Ohio |
Profile Details
| NPI number | 1669995072 |
|---|---|
| LBN Legal business name | Stevenson, Jill L |
| Credentials | CDCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2017 |
| Last updated | Feb 1st, 2024 - about 10 months 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 | 1669995072 | NPPES |
| Ohio | MEDICAID | 0278809 |
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