Woodrum, Helen R

Woodrum, Helen R is an individual health care provider with primary practice located at 403 E 1St St , Dixon IL 61021. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Woodrum, Helen R can be contacted via phone (815) 285-5638.

Contact Information

Primary practice address
403 E 1St St Dixon IL 61021
Phone: (815) 285-5638
Fax: (815) 285-5850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149015750 Illinois

Profile Details

NPI number 1881986636
LBN Legal business name Woodrum, Helen R
Credentials MSW, QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2011
Last updated Aug 29th, 2018 - about 8 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 1881986636 NPPES
Illinois Other F400249467 MEDICARE

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