Fisher, Shontae L

Fisher, Shontae L is an sole proprietor health care provider with primary practice located at 313 Berkshire Dr , Lake Villa IL 60046-5054. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Fisher, Shontae L can be contacted via phone (773) 220-6268.

Contact Information

Primary practice address
313 Berkshire Dr Lake Villa IL 60046-5054
Phone: (773) 220-6268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00000000000 Illinois

Profile Details

NPI number 1609621796
LBN Legal business name Fisher, Shontae L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2024
Last updated Apr 22nd, 2024 - about 2 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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