Phipps, Judith Joan
Phipps, Judith Joan is an individual health care provider with primary practice located at Rr1 Box 277 , Lawrenceville IL 62439. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Phipps, Judith Joan can be contacted via phone (618) 943-3754.Contact Information
Primary practice address
Rr1 Box 277
Lawrenceville IL 62439
Phone: (618) 943-3754
Fax: (618) 943-3754
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 036-105698 | Illinois |
Profile Details
NPI number | 1366678161 |
---|---|
LBN Legal business name | Phipps, Judith Joan |
Credentials | MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2009 |
Last updated | Jun 8th, 2009 - about 15 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 | 1366678161 | NPPES |
Illinois | MEDICAID | 37600178008 |
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