Willmore, Evan Michael
Willmore, Evan Michael is an individual health care provider with primary practice located at 50 Northgate Industrial Dr , Granite City IL 62040-6805. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Willmore, Evan Michael can be contacted via phone (618) 877-4420.Contact Information
Primary practice address
50 Northgate Industrial Dr
Granite City IL 62040-6805
Phone: (618) 877-4420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.024489 | Illinois |
Profile Details
| NPI number | 1710621271 |
|---|---|
| LBN Legal business name | Willmore, Evan Michael |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2022 |
| Last updated | Apr 21st, 2022 - 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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