Weaver, Chloe Lane

Weaver, Chloe Lane is an individual health care provider with primary practice located at 401 North Basin Road , Fairfield IL 62837. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Weaver, Chloe Lane can be contacted via phone (618) 516-5326.

Contact Information

Primary practice address
401 North Basin Road Fairfield IL 62837
Phone: (618) 516-5326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1013689330
LBN Legal business name Weaver, Chloe Lane
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2021
Last updated Oct 5th, 2021 - about 4 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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