Schillo, Charell G

Schillo, Charell G is an individual health care provider with primary practice located at 316 2Nd Ave W , Williston ND 58801. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Schillo, Charell G can be contacted via phone (701) 774-4600.

Contact Information

Primary practice address
316 2Nd Ave W Williston ND 58801
Phone: (701) 774-4600
Fax: (701) 774-4620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 526 North Dakota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 123500-3502 Utah

Profile Details

NPI number 1376653527
LBN Legal business name Schillo, Charell G
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376653527 NPPES
North Dakota MEDICAID 79232
North Dakota Other 019075

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