Prenzler, Theresa O
Prenzler, Theresa O is an sole proprietor health care provider with primary practice located at 712 E Empire St , Bloomington IL 61701-3252. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Prenzler, Theresa O can be contacted via phone (309) 824-5180.Contact Information
Primary practice address
712 E Empire St
Bloomington IL 61701-3252
Phone: (309) 824-5180
Fax: (309) 828-8084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1649315656 |
|---|---|
| LBN Legal business name | Prenzler, Theresa O |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649315656 | NPPES |
| Illinois | Other | 05732094 | BCBS OF IL |
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