Homan, Mike P.
Homan, Mike P. is an individual health care provider with primary practice located at 815 E 5Th St Suite 101, Alton IL 62002. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Homan, Mike P. can be contacted via phone (618) 474-6246.Contact Information
Primary practice address
815 E 5Th St Suite 101
Alton IL 62002
Phone: (618) 474-6246
Fax: (618) 474-6242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.004407 | Illinois |
Profile Details
| NPI number | 1952410060 |
|---|---|
| LBN Legal business name | Homan, Mike P. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Sep 17th, 2015 - about 9 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 | 1952410060 | NPPES |
| Illinois | Other | 149.004407 | ILLINOIS LCSW LICENSE |
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