Jessup, Bryn W
Jessup, Bryn W is an sole proprietor health care provider with primary practice located at 778 W Frontage Rd 114, Northfield IL 60093-1209. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jessup, Bryn W can be contacted via phone (847) 501-5897.Contact Information
Primary practice address
778 W Frontage Rd 114
Northfield IL 60093-1209
Phone: (847) 501-5897
Fax: (847) 501-5896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071003787 | Illinois |
Profile Details
| NPI number | 1942552245 |
|---|---|
| LBN Legal business name | Jessup, Bryn W |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2012 |
| Last updated | Oct 10th, 2012 - about 14 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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