Nelson, Erika

Nelson, Erika is an individual health care provider with primary practice located at 110 Franks Rd , Marengo IL 60152-3425. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Nelson, Erika can be contacted via phone (815) 334-5869.

Contact Information

Primary practice address
110 Franks Rd Marengo IL 60152-3425
Phone: (815) 334-5869
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 920514 Illinois

Profile Details

NPI number 1750896361
LBN Legal business name Nelson, Erika
Credentials ED.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2017
Last updated Dec 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750896361 NPPES
Illinois MEDICAID 69515354

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