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
Phone: (910) 343-6890
Fax: (910) 332-1233
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053393215 | NPPES |
North Carolina | MEDICAID | 6107078 |
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