Erdman, Marjorie S

Erdman, Marjorie S is an sole proprietor health care provider with primary practice located at 815 Logan Ave , Elgin IL 60120-3010. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Erdman, Marjorie S can be contacted via phone (847) 531-8941.

Contact Information

Primary practice address
815 Logan Ave Elgin IL 60120-3010
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149010702 Illinois

Profile Details

NPI number 1346264694
LBN Legal business name Erdman, Marjorie S
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Oct 22nd, 2011 - about 14 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 1346264694 NPPES
Illinois Other 149010702 LICENSE

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