Harvey, Clint

Harvey, Clint is an individual health care provider with primary practice located at 407 North Basin Road , Fairfield IL 62837. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Harvey, Clint can be contacted via phone (618) 842-2125.

Contact Information

Primary practice address
407 North Basin Road Fairfield IL 62837
Phone: (618) 842-2125
Fax: (618) 842-4154
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1972791689
LBN Legal business name Harvey, Clint
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 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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