Baitman, Kelly C Jackson

Baitman, Kelly C Jackson is an sole proprietor health care provider with primary practice located at 2681 Stanton Cir , Lake In The Hills IL 60156-6255. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Baitman, Kelly C Jackson can be contacted via phone (757) 846-6932.

Contact Information

Primary practice address
2681 Stanton Cir Lake In The Hills IL 60156-6255
Phone: (757) 846-6932
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.009815 Illinois
Behavioral Health & Social Service Providers / School 1041S0200X 2087910 Illinois

Profile Details

NPI number 1710286976
LBN Legal business name Baitman, Kelly C Jackson
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2011
Last updated Mar 26th, 2011 - about 14 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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