Hanson, Amy S
Hanson, Amy S is an sole proprietor health care provider with primary practice located at 1048 Washington Ave , Alton IL 62002-2870. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hanson, Amy S can be contacted via phone (314) 667-9410.Contact Information
Primary practice address
1048 Washington Ave
Alton IL 62002-2870
Phone: (314) 667-9410
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 20022020527 | Missouri |
Profile Details
NPI number | 1548363161 |
---|---|
LBN Legal business name | Hanson, Amy S |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 7th, 2006 |
Last updated | Feb 16th, 2016 - about 8 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 | 1548363161 | NPPES |
Missouri | MEDICAID | 495955700 |
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