Holsten, Leah
Holsten, Leah is an sole proprietor health care provider with primary practice located at 4407 Nunda Ave , Crystal Lake IL 60014-2538. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Holsten, Leah can be contacted via phone (815) 670-3688.Contact Information
Primary practice address
4407 Nunda Ave
Crystal Lake IL 60014-2538
Phone: (815) 670-3688
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1538650403 |
|---|---|
| LBN Legal business name | Holsten, Leah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2018 |
| Last updated | Jun 16th, 2018 - about 8 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 | 1538650403 | NPPES |
| Illinois | Other | H42353692795 | DEVELOPMENTAL THERAPIST |
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