Irby, Everett Oliver

Irby, Everett Oliver is an individual health care provider with primary practice located at 3248 Vandever Avenue , Pekin IL 61554. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Irby, Everett Oliver can be contacted via phone (309) 347-5579.

Contact Information

Primary practice address
3248 Vandever Avenue Pekin IL 61554
Phone: (309) 347-5579
Fax: (309) 347-4264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1053613307
LBN Legal business name Irby, Everett Oliver
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2010
Last updated Dec 9th, 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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