| Justin Stilson Llc | |
|
3910 Caughey Rd Ste 200 Erie PA 16506-4098 | |
| (814) 746-7313 | |
| Not Available |
| Full Name | Justin Stilson Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3910 Caughey Rd Ste 200, Erie, Pennsylvania |
| Authorized Official Name and Position | Justin Stilson (OWNER) |
| Authorized Official Contact | 8147467313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Stilson Llc 4345 Feidler Drive Erie PA 16506 Ph: (814) 746-7313 | Justin Stilson Llc 3910 Caughey Rd Ste 200 Erie PA 16506-4098 Ph: (814) 746-7313 |
| NPI Number | 1962271460 |
|---|---|
| Provider Enumeration Date | 12/26/2023 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962271460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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