Supan, August

Supan, August is an individual health care provider with primary practice located at 750 Broadway Ave E , Mattoon IL 61938-4610. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Supan, August can be contacted via phone (217) 238-5700.

Contact Information

Primary practice address
750 Broadway Ave E Mattoon IL 61938-4610
Phone: (217) 238-5700
Fax: (217) 238-5767
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-007817 Illinois

Profile Details

NPI number 1598851040
LBN Legal business name Supan, August
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 4th, 2015 - about 11 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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