Lawrence, Ellyn M
Lawrence, Ellyn M is an sole proprietor health care provider with primary practice located at 16820 81St Ct Apt 3S , Tinley Park IL 60477-2044. She recently has only one registered license in Agencies / Public Health or Welfare, which is considered as her primary health care specialty. Lawrence, Ellyn M can be contacted via phone (708) 704-9671.Contact Information
Primary practice address
16820 81St Ct Apt 3S
Tinley Park IL 60477-2044
Phone: (708) 704-9671
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Public Health or Welfare | 251K00000X |
Profile Details
| NPI number | 1023745874 |
|---|---|
| LBN Legal business name | Lawrence, Ellyn M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2022 |
| Last updated | Aug 2nd, 2022 - 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 | 1023745874 | NPPES |
| Illinois | Other | VUE822511480 | BLUE CROSS BLUE SHIELD |
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