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:
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Health care specialties

SpecialtyCodeLicense #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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