Mattimore, Carlene

Mattimore, Carlene is an sole proprietor health care provider with primary practice located at 1711 S 5Th St , Springfield IL 62703-3116. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mattimore, Carlene can be contacted via phone (217) 788-5244.

Contact Information

Primary practice address
1711 S 5Th St Springfield IL 62703-3116
Phone: (217) 788-5244
Fax: (217) 788-1650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1063562361
LBN Legal business name Mattimore, Carlene
Credentials M.S., L.C. P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 19 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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