Bennett, Ronald Wayne
Bennett, Ronald Wayne is an sole proprietor health care provider with primary practice located at 809 Overlook Dr , Frankfort IL 60423-1053. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Bennett, Ronald Wayne can be contacted via phone (815) 351-2299.Contact Information
Primary practice address
809 Overlook Dr
Frankfort IL 60423-1053
Phone: (815) 351-2299
Fax: (815) 469-9202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Illinois |
Profile Details
| NPI number | 1982770103 |
|---|---|
| LBN Legal business name | Bennett, Ronald Wayne |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1982770103 | NPPES |
| Illinois | Other | 244552 | COMPSYCH |
| Illinois | Other | 192753 | COMPSYCH |
| Illinois | Other | 09932319 | COMPSYCH |
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