Baxter, William Charles

Baxter, William Charles is an sole proprietor health care provider with primary practice located at 5Th Ave & Roosevelt Rd , Hines IL 60141-0629. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Baxter, William Charles can be contacted via phone (708) 202-4961.

Contact Information

Primary practice address
5Th Ave & Roosevelt Rd Hines IL 60141-0629
Fax: (708) 202-4954
Website:

Health care specialties

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

Profile Details

NPI number 1093756199
LBN Legal business name Baxter, William Charles
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 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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