Richardson, Jean R
Richardson, Jean R is an sole proprietor health care provider with primary practice located at 907 E Sayles Dr , Palatine IL 60074-7145. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Richardson, Jean R can be contacted via phone (847) 202-7051.Contact Information
Primary practice address
907 E Sayles Dr
Palatine IL 60074-7145
Phone: (847) 202-7051
Fax: (847) 202-7051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1245469725 |
|---|---|
| LBN Legal business name | Richardson, Jean R |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2009 |
| Last updated | Jul 6th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245469725 | NPPES |
| Indiana | Other | 264621631 | TRICARE |
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