Mccrady, Sherry

Mccrady, Sherry is an individual health care provider with primary practice located at 88 S Main St Ste 2 , Glen Carbon IL 62034-1415. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Mccrady, Sherry can be contacted via phone (618) 288-8085.

Contact Information

Primary practice address
88 S Main St Ste 2 Glen Carbon IL 62034-1415
Fax: (618) 288-8959
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 000000

Profile Details

NPI number 1093359390
LBN Legal business name Mccrady, Sherry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2019
Last updated Oct 30th, 2019 - about 5 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 1093359390 NPPES
Illinois MEDICAID 1134526973

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