Pedersen, Jane
Pedersen, Jane is an individual health care provider with primary practice located at 1050 Ivy Hall Ln , Buffalo Grove IL 60089-1333. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Pedersen, Jane can be contacted via phone (847) 459-4260.Contact Information
Primary practice address
1050 Ivy Hall Ln
Buffalo Grove IL 60089-1333
Phone: (847) 459-4260
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 714773 | Illinois |
Profile Details
| NPI number | 1437662244 |
|---|---|
| LBN Legal business name | Pedersen, Jane |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2017 |
| Last updated | Nov 15th, 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 | 1437662244 | NPPES |
| Illinois | Other | 714773 | PROFESSIONAL EDUCATOR LICENSE |
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