Stuber, Thomas D

Stuber, Thomas D is an individual health care provider with primary practice located at 2115 W Park Dr , Lorain OH 44053. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Stuber, Thomas D can be contacted via phone (440) 989-4900.

Contact Information

Primary practice address
2115 W Park Dr Lorain OH 44053
Phone: (440) 989-4900
Fax: (440) 282-4779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X E.0001507-S Ohio

Profile Details

NPI number 1417360645
LBN Legal business name Stuber, Thomas D
Credentials LPCC-SUPV
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2014
Last updated Jun 12th, 2018 - about 7 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 1417360645 NPPES
Ohio MEDICAID 0162102

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