Provider Demographics
NPI:1912278029
Name:ALLIANCE HEALTH, LLC
Entity Type:Organization
Organization Name:ALLIANCE HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:STENOVITCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:715-690-1271
Mailing Address - Street 1:2417 POST RD
Mailing Address - Street 2:BUILDING A
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-6124
Mailing Address - Country:US
Mailing Address - Phone:716-690-1271
Mailing Address - Fax:877-212-4294
Practice Address - Street 1:2417 POST RD
Practice Address - Street 2:BUILDING A
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-6124
Practice Address - Country:US
Practice Address - Phone:716-690-1271
Practice Address - Fax:877-212-4294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty