Pearson, Michael J.

Pearson, Michael J. is an sole proprietor health care provider with primary practice located at 765 Ela Rd Suite 211, Lake Zurich IL 60047-6305. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pearson, Michael J. can be contacted via phone (847) 438-5336.

Contact Information

Primary practice address
765 Ela Rd Suite 211 Lake Zurich IL 60047-6305
Phone: (847) 438-5336
Fax: (847) 540-0958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149004449 Illinois

Profile Details

NPI number 1780736843
LBN Legal business name Pearson, Michael J.
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jan 19th, 2012 - about 13 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 1780736843 NPPES
Texas Other 2154749 AETNA PROVIDER #
Texas Other 0005204094 AETNA PROVIDER #
Texas Other 05959 AETNA PROVIDER #
Texas Other 0004932116 AETNA PROVIDER #

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