Theis, Stephanie Anne
Theis, Stephanie Anne is an sole proprietor health care provider with primary practice located at 921 E 34Th St Ste A , Joplin MO 64804-3933. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Theis, Stephanie Anne can be contacted via phone (417) 623-2292.Contact Information
Primary practice address
921 E 34Th St Ste A
Joplin MO 64804-3933
Phone: (417) 623-2292
Fax: (417) 623-3328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2004024150 | Missouri |
Profile Details
| NPI number | 1699807453 |
|---|---|
| LBN Legal business name | Theis, Stephanie Anne |
| Credentials | L.C.S.W., M.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699807453 | NPPES |
| Missouri | Other | 193119 | BCBS OF MISSOURI |
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