Dudgeon, Thomas Boone

Dudgeon, Thomas Boone is an sole proprietor health care provider with primary practice located at 6066 Strathmoor Dr 3C, Rockford IL 61107-6633. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dudgeon, Thomas Boone can be contacted via phone (815) 399-9303.

Contact Information

Primary practice address
6066 Strathmoor Dr 3C Rockford IL 61107-6633
Phone: (815) 399-9303
Fax: (815) 399-9306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1184752602
LBN Legal business name Dudgeon, Thomas Boone
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
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.

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