Henry, Robert Bruce
Henry, Robert Bruce is an sole proprietor health care provider with primary practice located at 1821 Walden Office Sq Ste 400, Schaumburg IL 60173-4273. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Henry, Robert Bruce can be contacted via phone (847) 925-5115.Contact Information
Primary practice address
1821 Walden Office Sq Ste 400
Schaumburg IL 60173-4273
Phone: (847) 925-5115
Fax: (877) 700-8148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-002757 | Illinois |
Profile Details
| NPI number | 1891791554 |
|---|---|
| LBN Legal business name | Henry, Robert Bruce |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Nov 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891791554 | NPPES |
| Illinois | Other | 1673008 | BC/BS OF ILLINOIS |
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