Ettner, Randi C

Ettner, Randi C is an sole proprietor health care provider with primary practice located at 1214 Lake St , Evanston IL 60201-4130. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ettner, Randi C can be contacted via phone (847) 328-3433.

Contact Information

Primary practice address
1214 Lake St Evanston IL 60201-4130
Fax: (847) 328-5890
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1710038674
LBN Legal business name Ettner, Randi C
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 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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