Pedersen, Michelle Lee

Pedersen, Michelle Lee is an sole proprietor health care provider with primary practice located at 416 N Vine St , O Fallon IL 62269-1341. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Pedersen, Michelle Lee can be contacted via phone (618) 558-2849.

Contact Information

Primary practice address
416 N Vine St O Fallon IL 62269-1341
Phone: (618) 558-2849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1588192272
LBN Legal business name Pedersen, Michelle Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2017
Last updated Jul 21st, 2022 - about 3 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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