Goscinski, Theresa
Goscinski, Theresa is an sole proprietor health care provider with primary practice located at 5409 Wake Forest Dr , Fairview Heights IL 62208-3970. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goscinski, Theresa can be contacted via phone (618) 257-3497.Contact Information
Primary practice address
5409 Wake Forest Dr
Fairview Heights IL 62208-3970
Phone: (618) 257-3497
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149011039 | Illinois |
Profile Details
| NPI number | 1801038765 |
|---|---|
| LBN Legal business name | Goscinski, Theresa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2009 |
| Last updated | Mar 24th, 2009 - about 17 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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