O'Klock, Ann K

O'Klock, Ann K is an sole proprietor health care provider with primary practice located at 4455 E 56Th St , Davenport IA 52807-2995. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. O'Klock, Ann K can be contacted via phone (563) 355-2577.

Contact Information

Primary practice address
4455 E 56Th St Davenport IA 52807-2995
Phone: (563) 355-2577
Fax: (563) 355-4015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149002121 Illinois

Profile Details

NPI number 1588657316
LBN Legal business name O'Klock, Ann K
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Aug 12th, 2022 - about 2 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 1588657316 NPPES
Illinois Other 99089 BLUE CROSS IOWA NUMBER
Illinois MEDICAID 0581744 BLUE CROSS IOWA NUMBER
Illinois Other 149002121 BLUE CROSS IOWA NUMBER
Illinois Other IL01E1 BLUE CROSS IOWA NUMBER

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