Peterson Walz, Nancy
Peterson Walz, Nancy is an sole proprietor health care provider with primary practice located at 2502 Spring Ridge Dr Ste F, Spring Grove IL 60081-7812. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peterson Walz, Nancy can be contacted via phone (815) 382-7029.Contact Information
Primary practice address
2502 Spring Ridge Dr Ste F
Spring Grove IL 60081-7812
Phone: (815) 382-7029
Fax: (815) 363-5584
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149005637 | Illinois |
Profile Details
NPI number | 1861416687 |
---|---|
LBN Legal business name | Peterson Walz, Nancy |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 26th, 2006 |
Last updated | Jul 27th, 2016 - 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 | 1861416687 | NPPES |
Illinois | Other | 01633897 | BCBS GROUP PROVIDER NUMBE |
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