Lyons, Katharina
Lyons, Katharina is an individual health care provider with primary practice located at 2615 Edwards St , Alton IL 62002-3915. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Lyons, Katharina can be contacted via phone (618) 462-2331.Contact Information
Primary practice address
2615 Edwards St
Alton IL 62002-3915
Phone: (618) 462-2331
Fax: (618) 462-7160
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 178.012192 | Illinois |
Profile Details
NPI number | 1730608746 |
---|---|
LBN Legal business name | Lyons, Katharina |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 12th, 2017 |
Last updated | Sep 12th, 2017 - 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 | 1730608746 | NPPES |
Illinois | MEDICAID | 370916475048 |
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