Klein, Sarah Lynn
Klein, Sarah Lynn is an sole proprietor health care provider with primary practice located at 12 Health Services Dr , Dekalb IL 60115-9637. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Klein, Sarah Lynn can be contacted via phone (815) 756-4875.Contact Information
Primary practice address
12 Health Services Dr
Dekalb IL 60115-9637
Phone: (815) 756-4875
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 166001369 | Illinois |
Profile Details
NPI number | 1811409220 |
---|---|
LBN Legal business name | Klein, Sarah Lynn |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 26th, 2017 |
Last updated | Apr 2nd, 2020 - about 5 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 | 1811409220 | NPPES |
Illinois | MEDICAID | 474579189001 |
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