Netherly, John Myron

Netherly, John Myron is an sole proprietor health care provider with primary practice located at 1414 Main St , Melrose Park IL 60160-3902. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Netherly, John Myron can be contacted via phone (708) 715-8109.

Contact Information

Primary practice address
1414 Main St Melrose Park IL 60160-3902
Phone: (708) 715-8109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 36-2709982 Illinois

Profile Details

NPI number 1588936843
LBN Legal business name Netherly, John Myron
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2012
Last updated Feb 2nd, 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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