Prain, John Robert

Prain, John Robert is an individual health care provider with primary practice located at 900 S Deer Rd , Macomb IL 61455-2639. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Prain, John Robert can be contacted via phone (309) 837-4876.

Contact Information

Primary practice address
900 S Deer Rd Macomb IL 61455-2639
Phone: (309) 837-4876
Fax: (309) 833-1531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 22822 Illinois
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 22822 Illinois

Profile Details

NPI number 1396867420
LBN Legal business name Prain, John Robert
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Apr 14th, 2009 - 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 1396867420 NPPES
Illinois Other 22822 CADC
Illinois Other 370984175 CADC

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