Statham, Hershel W
Statham, Hershel W is an individual health care provider with primary practice located at 311 E Main St Suite 414, Galesburg IL 61401-4855. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Statham, Hershel W can be contacted via phone (309) 343-8315.Contact Information
Primary practice address
311 E Main St Suite 414
Galesburg IL 61401-4855
Phone: (309) 343-8315
Fax: (309) 343-5164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1194784520 |
|---|---|
| LBN Legal business name | Statham, Hershel W |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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