Ngo, Khoa
Ngo, Khoa is an sole proprietor health care provider with primary practice located at 2823 Glenwood Ave , Rockford IL 61101-3507. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Ngo, Khoa can be contacted via phone (815) 968-5342.Contact Information
Primary practice address
2823 Glenwood Ave
Rockford IL 61101-3507
Phone: (815) 968-5342
Fax: (815) 968-4656
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 180010755 | Illinois |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2014022243 | Missouri |
Profile Details
NPI number | 1861892374 |
---|---|
LBN Legal business name | Ngo, Khoa |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 3rd, 2014 |
Last updated | Apr 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861892374 | NPPES |
Other | 13549065 | CAQH |
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