Hansen, Amy L

Hansen, Amy L is an individual health care provider with primary practice located at 2900 W Heading Ave , West Peoria IL 61604-4868. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hansen, Amy L can be contacted via phone (309) 636-7601.

Contact Information

Primary practice address
2900 W Heading Ave West Peoria IL 61604-4868
Phone: (309) 636-7601
Fax: (309) 671-0253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.008016 Illinois

Profile Details

NPI number 1043588874
LBN Legal business name Hansen, Amy L
Credentials L.C.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2011
Last updated Dec 7th, 2011 - about 15 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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