Holsten, Leah

Holsten, Leah is an sole proprietor health care provider with primary practice located at 4407 Nunda Ave , Crystal Lake IL 60014-2538. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Holsten, Leah can be contacted via phone (815) 670-3688.

Contact Information

Primary practice address
4407 Nunda Ave Crystal Lake IL 60014-2538
Phone: (815) 670-3688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1538650403
LBN Legal business name Holsten, Leah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2018
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538650403 NPPES
Illinois Other H42353692795 DEVELOPMENTAL THERAPIST

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