Ehretsman, Larry

Ehretsman, Larry is an sole proprietor health care provider with primary practice located at 17255 Oak Park Ave , Tinley Park IL 60477-3401. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Ehretsman, Larry can be contacted via phone (708) 633-4533.

Contact Information

Primary practice address
17255 Oak Park Ave Tinley Park IL 60477-3401
Phone: (708) 633-4533
Fax: (708) 633-4531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.003642 Illinois

Profile Details

NPI number 1093156127
LBN Legal business name Ehretsman, Larry
Credentials L.C.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2013
Last updated Jul 17th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093156127 NPPES
Illinois Other 180.003642 LICENSED CLINICAL PROFESSIONAL COUNSELOR
Illinois Other 180.003642 LICENSED CLINICAL PROFESSIONAL COUNSELOR

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