Orth, Sarah Jb

Orth, Sarah Jb is an sole proprietor health care provider with primary practice located at 101 N Virginia St Suite 245, Crystal Lake IL 60014-3426. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Orth, Sarah Jb can be contacted via phone (708) 288-2735.

Contact Information

Primary practice address
101 N Virginia St Suite 245 Crystal Lake IL 60014-3426
Phone: (708) 288-2735
Fax: (708) 590-3351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-006358 Illinois

Profile Details

NPI number 1811038862
LBN Legal business name Orth, Sarah Jb
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2007
Last updated Nov 7th, 2014 - about 10 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 1811038862 NPPES
Illinois Other 01632854 BCBSIL PPO PROVIDER NUMBE

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