Anderson, John Prentice
Anderson, John Prentice is an sole proprietor health care provider with primary practice located at 211 E Ontario St Suite 1150, Chicago IL 60611-3468. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Anderson, John Prentice can be contacted via phone (312) 274-0747.Contact Information
Primary practice address
211 E Ontario St Suite 1150
Chicago IL 60611-3468
Phone: (312) 274-0747
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Illinois |
Profile Details
| NPI number | 1356483424 |
|---|---|
| LBN Legal business name | Anderson, John Prentice |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356483424 | NPPES |
| Illinois | Other | 1634688 | BLUECROSSBLUESHIELD PPO |
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