Van Brocklin, Betsy
Van Brocklin, Betsy is an sole proprietor health care provider with primary practice located at 340 W State St , Jacksonville IL 62650-2061. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Van Brocklin, Betsy can be contacted via phone (217) 245-6126.Contact Information
Primary practice address
340 W State St
Jacksonville IL 62650-2061
Phone: (217) 245-6126
Fax: (217) 245-4296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149016387 | Illinois |
Profile Details
| NPI number | 1649537747 |
|---|---|
| LBN Legal business name | Van Brocklin, Betsy |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2012 |
| Last updated | Jan 2nd, 2014 - about 12 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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