Henry, Margaret K
Henry, Margaret K is an individual health care provider with primary practice located at 2311 S Illinois Ave , Carbondale IL 62903-5912. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Henry, Margaret K can be contacted via phone (618) 547-6703.Contact Information
Primary practice address
2311 S Illinois Ave
Carbondale IL 62903-5912
Phone: (618) 547-6703
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Illinois |
Profile Details
| NPI number | 1215553110 |
|---|---|
| LBN Legal business name | Henry, Margaret K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2020 |
| Last updated | Jun 17th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215553110 | NPPES |
| Illinois | MEDICAID | IL2970 |
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