Jones, Donald E

Jones, Donald E is an sole proprietor health care provider with primary practice located at 100 N Walkup Ave , Crystal Lake IL 60014-4383. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jones, Donald E can be contacted via phone (815) 444-1090.

Contact Information

Primary practice address
100 N Walkup Ave Crystal Lake IL 60014-4383
Phone: (815) 444-1090
Fax: (815) 788-1345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149 -- 004219 Illinois

Profile Details

NPI number 1023095346
LBN Legal business name Jones, Donald E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Apr 18th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023095346 NPPES
Illinois Other 05632141 BC/BS
Illinois Other 545749 BC/BS

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