Goodman, Rebecca Ann
Goodman, Rebecca Ann is an individual health care provider with primary practice located at 1100 Millbrook Dr , Lake Zurich IL 60047-2752. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Goodman, Rebecca Ann can be contacted via phone (847) 648-3221.Contact Information
Primary practice address
1100 Millbrook Dr
Lake Zurich IL 60047-2752
Phone: (847) 648-3221
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1255861704 |
|---|---|
| LBN Legal business name | Goodman, Rebecca Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2017 |
| Last updated | Jun 16th, 2018 - about 6 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 | 1255861704 | NPPES |
| Other | 3081 | INDIVIDUAS PLAN | |
| Other | 3081 | INDIVIDUAS PLAN |
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