Jepson, Neil Allen

Jepson, Neil Allen is an sole proprietor health care provider with primary practice located at 1111 Trinity Ln Ste 111 , Bloomington IL 61704-8112. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jepson, Neil Allen can be contacted via phone (309) 663-6461.

Contact Information

Primary practice address
1111 Trinity Ln Ste 111 Bloomington IL 61704-8112
Phone: (309) 663-6461
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 047000715 Vermont
Behavioral Health & Social Service Providers / Health Service 103TH0100X 0470000715 Vermont
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0470000715 Vermont

Profile Details

NPI number 1689687709
LBN Legal business name Jepson, Neil Allen
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Apr 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689687709 NPPES
Vermont MEDICAID 1010983

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