Smith, James Ralph
Smith, James Ralph is an sole proprietor health care provider with primary practice located at 2506 Galen Dr Suite 103, Champaign IL 61821-7046. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, James Ralph can be contacted via phone (217) 398-0744.Contact Information
Primary practice address
2506 Galen Dr Suite 103
Champaign IL 61821-7046
Phone: (217) 398-0744
Fax: (217) 398-0778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-003744 | Illinois |
Profile Details
| NPI number | 1659364180 |
|---|---|
| LBN Legal business name | Smith, James Ralph |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Sep 17th, 2012 - about 12 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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