Denton, Haron

Denton, Haron is an individual health care provider with primary practice located at 88 S Main St Ste 2 , Glen Carbon IL 62034-1415. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Denton, Haron can be contacted via phone (618) 288-8085.

Contact Information

Primary practice address
88 S Main St Ste 2 Glen Carbon IL 62034-1415
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 270000211 Illinois

Profile Details

NPI number 1871145649
LBN Legal business name Denton, Haron
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2019
Last updated Jul 11th, 2019 - about 7 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 1871145649 NPPES
Illinois Other 270000211 STATE OF ILLINOIS LICENSE

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