Larson, Sherri L
Larson, Sherri L is an individual health care provider with primary practice located at 19740 Governors Hwy Suite 117, Flossmoor IL 60422-2084. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Larson, Sherri L can be contacted via phone (866) 296-5262.Contact Information
Primary practice address
19740 Governors Hwy Suite 117
Flossmoor IL 60422-2084
Phone: (866) 296-5262
Fax: (708) 957-9588
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180004355 | Illinois |
Profile Details
NPI number | 1295062883 |
---|---|
LBN Legal business name | Larson, Sherri L |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2009 |
Last updated | Nov 3rd, 2009 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295062883 | NPPES |
Illinois | Other | 180004355 | STATE OF ILLINOIS |
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