Smith, Elizabeth Nicole
Smith, Elizabeth Nicole is an individual health care provider with primary practice located at 11800 S 75Th Ave Ste 300 , Palos Heights IL 60463-1064. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Elizabeth Nicole can be contacted via phone (708) 671-8440.Contact Information
Primary practice address
11800 S 75Th Ave Ste 300
Palos Heights IL 60463-1064
Phone: (708) 671-8440
Fax: (708) 671-8664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20043115A | Indiana |
Profile Details
| NPI number | 1043712433 |
|---|---|
| LBN Legal business name | Smith, Elizabeth Nicole |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2018 |
| Last updated | Apr 29th, 2020 - about 5 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 | 1043712433 | NPPES |
| Illinois | Other | 071.010238 | LICENSE NUMBER |
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