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
Phone: (847) 328-3433
Fax: (847) 328-5890
Website:
Health care specialties
Specialty | Code | License # | 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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