Mcdonald, Jayne Brickley
Mcdonald, Jayne Brickley is an individual health care provider with primary practice located at 901 S 2Nd St Suite 100, Springfield IL 62704-2779. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcdonald, Jayne Brickley can be contacted via phone (217) 523-0069.Contact Information
Primary practice address
901 S 2Nd St Suite 100
Springfield IL 62704-2779
Phone: (217) 523-0069
Fax: (217) 523-4620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1912944554 |
|---|---|
| LBN Legal business name | Mcdonald, Jayne Brickley |
| Credentials | MSW,LCSW,AAMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912944554 | NPPES |
| Illinois | Other | 08405298 | BLUECROSS/BLLUESHIELD |
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