Smith, Thomas

Smith, Thomas is an individual health care provider with primary practice located at 369 E Sibley Blvd , Harvey IL 60426-2530. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Smith, Thomas can be contacted via phone (888) 205-5532.

Contact Information

Primary practice address
369 E Sibley Blvd Harvey IL 60426-2530
Phone: (888) 205-5532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Illinois
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 1093075301 Illinois

Profile Details

NPI number 1972036994
LBN Legal business name Smith, Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2017
Last updated Oct 31st, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972036994 NPPES
Illinois MEDICAID 1093075301

Popular Providers