Lichtsinn, Holly R
Lichtsinn, Holly R is an individual health care provider with primary practice located at 10319 Dawsons Creek Blvd Suite H, Fort Wayne IN 46825-1911. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Lichtsinn, Holly R can be contacted via phone (260) 969-5583.Contact Information
Primary practice address
10319 Dawsons Creek Blvd Suite H
Fort Wayne IN 46825-1911
Phone: (260) 969-5583
Fax: (260) 969-5584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1699829648 |
|---|---|
| LBN Legal business name | Lichtsinn, Holly R |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Feb 25th, 2010 - about 14 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 | 1699829648 | NPPES |
| Indiana | MEDICAID | 100124250 |
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