Homan, Shelby
Homan, Shelby is an sole proprietor health care provider with primary practice located at 816 W Douglas Ave 1/2, Jacksonville IL 62650. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Homan, Shelby can be contacted via phone (217) 617-6966.Contact Information
Primary practice address
816 W Douglas Ave 1/2
Jacksonville IL 62650
Phone: (217) 617-6966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 2578188 | Illinois |
Profile Details
| NPI number | 1144903162 |
|---|---|
| LBN Legal business name | Homan, Shelby |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2023 |
| Last updated | Aug 8th, 2023 - about 2 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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