Johnson, Sheila Blossom
Johnson, Sheila Blossom is an sole proprietor health care provider with primary practice located at 1497 N La Fox St , South Elgin IL 60177-1227. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Sheila Blossom can be contacted via phone (847) 903-1156.Contact Information
Primary practice address
1497 N La Fox St
South Elgin IL 60177-1227
Phone: (847) 903-1156
Fax: (847) 697-4717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180-003949 | Illinois |
Profile Details
| NPI number | 1427174994 |
|---|---|
| LBN Legal business name | Johnson, Sheila Blossom |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jan 27th, 2020 - about 4 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 | 1427174994 | NPPES |
| Illinois | Other | 180-003949 | STATE LICENSE NUMBER |
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