Crewell, Chad Allen

Crewell, Chad Allen is an individual health care provider with primary practice located at Rr1 Box 277 , Lawrenceville IL 62439. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Crewell, Chad Allen can be contacted via phone (618) 943-3754.

Contact Information

Primary practice address
Rr1 Box 277 Lawrenceville IL 62439
Phone: (618) 943-3754
Fax: (618) 943-3754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1922235464
LBN Legal business name Crewell, Chad Allen
Credentials AS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2009
Last updated Jun 11th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922235464 NPPES
Illinois MEDICAID 37600178008

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