Everett, Gregory

Everett, Gregory is an sole proprietor health care provider with primary practice located at 2237 Tramore , Troy IL 62294-9001. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Everett, Gregory can be contacted via phone (618) 960-7756.

Contact Information

Primary practice address
2237 Tramore Troy IL 62294-9001
Phone: (618) 960-7756
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071007380 Illinois

Profile Details

NPI number 1285400846
LBN Legal business name Everett, Gregory
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2023
Last updated Nov 27th, 2023 - about last year

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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