Glad, Sonja M
Glad, Sonja M is an sole proprietor health care provider with primary practice located at 2663 Farragut Dr Suite A, Springfield IL 62704-1462. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Glad, Sonja M can be contacted via phone (217) 793-0680.Contact Information
Primary practice address
2663 Farragut Dr Suite A
Springfield IL 62704-1462
Phone: (217) 793-0680
Fax: (217) 793-0684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Illinois |
Profile Details
| NPI number | 1891894903 |
|---|---|
| LBN Legal business name | Glad, Sonja M |
| Credentials | M.A., NCC, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891894903 | NPPES |
| Illinois | Other | BC/BS | 8432091 |
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