Stone, Ken J

Stone, Ken J is an individual health care provider with primary practice located at 1720 University Dr S , Fargo ND 58103-4940. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Psychoanalysis is his primary health care specialty. Stone, Ken J can be contacted via phone (701) 461-5600.

Contact Information

Primary practice address
1720 University Dr S Fargo ND 58103-4940
Phone: (701) 461-5600
Fax: (701) 461-5649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X ND 244 North Dakota
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X 244 North Dakota

Profile Details

NPI number 1992739262
LBN Legal business name Stone, Ken J
Credentials PSY D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 7th, 2008 - about 17 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 1992739262 NPPES
Minnesota Other 13475 BSBS OF MN PIN
Minnesota Other 026767 BSBS OF MN PIN
Minnesota MEDICAID 084314800 BSBS OF MN PIN

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