Chadwick-Fisher, Kevin Andrew

Chadwick-Fisher, Kevin Andrew is an individual health care provider with primary practice located at 2411 Pathways Xing , Belleville IL 62221-5885. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Chadwick-Fisher, Kevin Andrew can be contacted via phone (618) 355-4724.

Contact Information

Primary practice address
2411 Pathways Xing Belleville IL 62221-5885
Phone: (618) 355-4724
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 2453617 Illinois

Profile Details

NPI number 1659985810
LBN Legal business name Chadwick-Fisher, Kevin Andrew
Credentials SSP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2020
Last updated Sep 4th, 2020 - about 6 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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