Legan, Donald R

Legan, Donald R is an individual health care provider with primary practice located at 5409 N Knoxville , Peoria IL 61614. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Legan, Donald R can be contacted via phone (309) 691-0420.

Contact Information

Primary practice address
5409 N Knoxville Peoria IL 61614
Fax: (309) 691-0520
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 71002085 Illinois

Profile Details

NPI number 1467429605
LBN Legal business name Legan, Donald R
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1467429605 NPPES
Other 07220997 BCBS
Other L015956 BCBS

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