Stine, Jennifer Leo
Stine, Jennifer Leo is an sole proprietor health care provider with primary practice located at 2603 N Rolling Rd Ste 301-302 , Windsor Mill MD 21244-1975. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stine, Jennifer Leo can be contacted via phone (410) 298-4642.Contact Information
Primary practice address
2603 N Rolling Rd Ste 301-302
Windsor Mill MD 21244-1975
Phone: (410) 298-4642
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC8065 | Maryland |
Profile Details
NPI number | 1033682786 |
---|---|
LBN Legal business name | Stine, Jennifer Leo |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 5th, 2019 |
Last updated | Jan 5th, 2019 - about 5 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 | 1033682786 | NPPES |
Maryland | MEDICAID | LC8065 |
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