Parker, Gregory K

Parker, Gregory K is an individual health care provider with primary practice located at 1415 E State St , Rockford IL 61104-2333. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Parker, Gregory K can be contacted via phone (815) 489-4376.

Contact Information

Primary practice address
1415 E State St Rockford IL 61104-2333
Phone: (815) 489-4376
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1215091764
LBN Legal business name Parker, Gregory K
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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