Bryant, Wilma L
Bryant, Wilma L is an sole proprietor health care provider with primary practice located at 100 N Chestnut St Ste 229 , Champaign IL 61820-4856. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bryant, Wilma L can be contacted via phone (217) 637-7815.Contact Information
Primary practice address
100 N Chestnut St Ste 229
Champaign IL 61820-4856
Phone: (217) 637-7815
Fax: (844) 693-1411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149005877 | Illinois |
Profile Details
| NPI number | 1932238516 |
|---|---|
| LBN Legal business name | Bryant, Wilma L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jan 15th, 2020 - about 5 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 | 1932238516 | NPPES |
| Illinois | Other | 0001007627 | BLUE CROSS BLUE SHIELD |
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