Stewart, Stuart Bryan
Stewart, Stuart Bryan is an individual health care provider with primary practice located at 215 N G St , Lakeview OR 97630-1417. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Stewart, Stuart Bryan can be contacted via phone (541) 947-6021.Contact Information
Primary practice address
215 N G St
Lakeview OR 97630-1417
Phone: (541) 947-6021
Fax: (541) 947-6020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1659878130 |
|---|---|
| LBN Legal business name | Stewart, Stuart Bryan |
| Credentials | PEER SUPPORT SPECIAL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2018 |
| Last updated | Jan 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659878130 | NPPES |
| Oregon | MEDICAID | 241295 |
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