Smith, Marissa Star

Smith, Marissa Star is an sole proprietor health care provider with primary practice located at 113 Vernon Dr , Mchenry IL 60051-8652. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Smith, Marissa Star can be contacted via phone (847) 450-9635.

Contact Information

Primary practice address
113 Vernon Dr Mchenry IL 60051-8652
Phone: (847) 450-9635
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1992550917
LBN Legal business name Smith, Marissa Star
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2024
Last updated Apr 22nd, 2024 - about 8 months 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.

Request for update

Popular Providers