Fedrigon, Emily

Fedrigon, Emily is an individual health care provider with primary practice located at 88 S Main St , Glen Carbon IL 62034-1415. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Fedrigon, Emily can be contacted via phone (618) 288-8085.

Contact Information

Primary practice address
88 S Main St Glen Carbon IL 62034-1415
Phone: (618) 288-8085
Fax: (618) 288-8959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1053005595
LBN Legal business name Fedrigon, Emily
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2023
Last updated Jun 7th, 2023 - about 2 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 1053005595 NPPES
Illinois MEDICAID 4A00-IPI-032

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