Herzog, Andrea Jennifer

Herzog, Andrea Jennifer is an sole proprietor health care provider with primary practice located at 1801 Fox Dr , Champaign IL 61820-7236. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Herzog, Andrea Jennifer can be contacted via phone (217) 398-8080.

Contact Information

Primary practice address
1801 Fox Dr Champaign IL 61820-7236
Phone: (217) 398-8080
Fax: (217) 398-0172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1114071933
LBN Legal business name Herzog, Andrea Jennifer
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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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