Bidwell, Jeremy Todd

Bidwell, Jeremy Todd is an individual health care provider with primary practice located at 111 Dean St , Woodstock IL 60098-3220. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is his primary health care specialty. Bidwell, Jeremy Todd can be contacted via phone (815) 344-5061.

Contact Information

Primary practice address
111 Dean St Woodstock IL 60098-3220
Phone: (815) 344-5061
Fax: (815) 344-5072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.007831 Illinois
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 074.000011 Illinois

Profile Details

NPI number 1609108703
LBN Legal business name Bidwell, Jeremy Todd
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2010
Last updated Dec 15th, 2021 - about 5 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.

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