Elgersma, Michael William

Elgersma, Michael William is an individual health care provider with primary practice located at 1500 E Lincoln Hwy Ste 1 , Dekalb IL 60115-3990. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Elgersma, Michael William can be contacted via phone (779) 702-5646.

Contact Information

Primary practice address
1500 E Lincoln Hwy Ste 1 Dekalb IL 60115-3990
Phone: (779) 702-5646
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180011882 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178008775 Illinois

Profile Details

NPI number 1972946028
LBN Legal business name Elgersma, Michael William
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2013
Last updated Jan 26th, 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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