Carson, Andrew D
Carson, Andrew D is an sole proprietor health care provider with primary practice located at 420 Pennsylvania Ave Ste 101 , Glen Ellyn IL 60137-4427. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carson, Andrew D can be contacted via phone (630) 474-4353.Contact Information
Primary practice address
420 Pennsylvania Ave Ste 101
Glen Ellyn IL 60137-4427
Phone: (630) 474-4353
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071.010080 | Illinois |
Profile Details
| NPI number | 1346896966 |
|---|---|
| LBN Legal business name | Carson, Andrew D |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2019 |
| Last updated | Aug 11th, 2019 - 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.
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