Stjohn, Jane

Stjohn, Jane is an sole proprietor health care provider with primary practice located at 1606 Physicians Dr Ste 104 , Wilmington NC 28401-7348. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Stjohn, Jane can be contacted via phone (910) 343-6890.

Contact Information

Primary practice address
1606 Physicians Dr Ste 104 Wilmington NC 28401-7348
Fax: (910) 332-1233
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 952 North Carolina

Profile Details

NPI number 1053393215
LBN Legal business name Stjohn, Jane
Credentials LPA, LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Jan 15th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053393215 NPPES
North Carolina MEDICAID 6107078

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