Renteria, Andy Elvis

Renteria, Andy Elvis is an individual health care provider with primary practice located at 1151 N State St , Elgin IL 60123-1404. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Renteria, Andy Elvis can be contacted via phone (262) 744-8599.

Contact Information

Primary practice address
1151 N State St Elgin IL 60123-1404
Phone: (262) 744-8599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1235835711
LBN Legal business name Renteria, Andy Elvis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2023
Last updated Feb 6th, 2023 - about 3 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 1235835711 NPPES
Illinois MEDICAID 154102644

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