Gadlage, Belva J

Gadlage, Belva J is an individual health care provider with primary practice located at 2570 Federal Drive , Decatur IL 62526. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gadlage, Belva J can be contacted via phone (217) 872-1003.

Contact Information

Primary practice address
2570 Federal Drive Decatur IL 62526
Fax: (217) 233-4150
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180002062 Illinois

Profile Details

NPI number 1669541769
LBN Legal business name Gadlage, Belva J
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Aug 27th, 2009 - about 15 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 1669541769 NPPES
Other 05821971 BCBS

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