Pingo, Joseph John

Pingo, Joseph John is an individual health care provider with primary practice located at 4060 Mcfarland Rd , Loves Park IL 61111-4402. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Pingo, Joseph John can be contacted via phone (815) 639-2956.

Contact Information

Primary practice address
4060 Mcfarland Rd Loves Park IL 61111-4402
Phone: (815) 639-2956
Fax: (815) 633-8057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-10-6768 Illinois

Profile Details

NPI number 1144535022
LBN Legal business name Pingo, Joseph John
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2010
Last updated Aug 16th, 2010 - about 16 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 1144535022 NPPES
Illinois MEDICAID 362769801

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