Goodwine, Tyler
Goodwine, Tyler is an sole proprietor health care provider with primary practice located at 7646 N Waukegan Rd , Niles IL 60714-3242. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Goodwine, Tyler can be contacted via phone (773) 294-6403.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149015767 | Illinois |
Profile Details
| NPI number | 1992148548 |
|---|---|
| LBN Legal business name | Goodwine, Tyler |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2013 |
| Last updated | Apr 14th, 2013 - about 11 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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