Anderson, Peggy Diane

Anderson, Peggy Diane is an sole proprietor health care provider with primary practice located at 23 Hunt St , Bristol IL 60512-2003. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Anderson, Peggy Diane can be contacted via phone (630) 553-4383.

Contact Information

Primary practice address
23 Hunt St Bristol IL 60512-2003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 399634 Illinois

Profile Details

NPI number 1831606789
LBN Legal business name Anderson, Peggy Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2018
Last updated Jan 1st, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831606789 NPPES
Illinois Other 399634 IEIN NUMBER

Popular Providers