Blumthal, Debra Louise
Blumthal, Debra Louise is an sole proprietor health care provider with primary practice located at 215 S Grand Ave W , Springfield IL 62704-3838. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Blumthal, Debra Louise can be contacted via phone (217) 744-3525.Contact Information
Primary practice address
215 S Grand Ave W
Springfield IL 62704-3838
Phone: (217) 744-3525
Fax: (217) 744-2525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180006218 | Illinois |
Profile Details
| NPI number | 1063541308 |
|---|---|
| LBN Legal business name | Blumthal, Debra Louise |
| Credentials | NCC, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2007 |
| Last updated | Jul 31st, 2015 - about 11 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 | 1063541308 | NPPES |
| Illinois | Other | 180.006218 | STATE LICENSE NUMBER-LCPC |
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