Kapp, James O

Kapp, James O is an sole proprietor health care provider with primary practice located at 130 Hillsboro Ave Suite 200, Edwardsville IL 62025-1636. 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. Kapp, James O can be contacted via phone (618) 296-5220.

Contact Information

Primary practice address
130 Hillsboro Ave Suite 200 Edwardsville IL 62025-1636
Fax: (618) 659-1185
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 23871 Illinois

Profile Details

NPI number 1073888558
LBN Legal business name Kapp, James O
Credentials BA CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2012
Last updated Mar 15th, 2012 - about 13 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 1073888558 NPPES
Illinois Other 23871 CADC CERTIFICATION

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