Withrow, Stephen C

Withrow, Stephen C is an individual health care provider with primary practice located at 1850 Gateway Dr , Sycamore IL 60178-3192. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Withrow, Stephen C can be contacted via phone (815) 758-8671.

Contact Information

Primary practice address
1850 Gateway Dr Sycamore IL 60178-3192
Phone: (815) 758-8671
Fax: (815) 758-5610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-004243 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-007269 Illinois

Profile Details

NPI number 1447263041
LBN Legal business name Withrow, Stephen C
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Nov 4th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447263041 NPPES
Illinois Other 071007269 LICENSE
Illinois Other 180004243 LICENSE

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