Hatlelid, Seth R.

Hatlelid, Seth R. is an individual health care provider with primary practice located at 1015 S Mercer Ave , Bloomington IL 61701-7107. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hatlelid, Seth R. can be contacted via phone (309) 706-9532.

Contact Information

Primary practice address
1015 S Mercer Ave Bloomington IL 61701-7107
Phone: (309) 706-9532
Fax: (309) 588-4115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.006972 Illinois

Profile Details

NPI number 1447270368
LBN Legal business name Hatlelid, Seth R.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jun 11th, 2010 - 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 1447270368 NPPES
Other 05732028 BLUE CROSS BLUE SHIELD

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