Heath, Gary S

Heath, Gary S is an sole proprietor health care provider with primary practice located at 3200 Fishback Rd , Carbondale IL 62901-6307. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Heath, Gary S can be contacted via phone (618) 457-1111.

Contact Information

Primary practice address
3200 Fishback Rd Carbondale IL 62901-6307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149007002 Illinois

Profile Details

NPI number 1275717126
LBN Legal business name Heath, Gary S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2007
Last updated Dec 27th, 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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