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
Phone: (309) 691-0420
Fax: (309) 691-0520
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467429605 | NPPES |
Other | 07220997 | BCBS | |
Other | L015956 | BCBS |
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