Lemke, Audrey
Lemke, Audrey is an individual health care provider with primary practice located at 904 E. Martin Luther King Drive , Centralia IL 62801-3058. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Lemke, Audrey can be contacted via phone (618) 533-1391.Contact Information
Primary practice address
904 E. Martin Luther King Drive
Centralia IL 62801-3058
Phone: (618) 533-1391
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1891249413 |
|---|---|
| LBN Legal business name | Lemke, Audrey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2016 |
| Last updated | Aug 11th, 2016 - about 8 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 | 1891249413 | NPPES |
| Illinois | MEDICAID | 370915481007 |
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