Mcdaniel, Jephthat
Mcdaniel, Jephthat is an individual health care provider with primary practice located at 2200 S Grace St Apt 605 , Lombard IL 60148-5514. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mcdaniel, Jephthat can be contacted via phone (312) 709-5351.Contact Information
Primary practice address
2200 S Grace St Apt 605
Lombard IL 60148-5514
Phone: (312) 709-5351
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1861273781 |
|---|---|
| LBN Legal business name | Mcdaniel, Jephthat |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2023 |
| Last updated | Oct 6th, 2023 - about 2 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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