Soper, Pamela Kae
Soper, Pamela Kae is an sole proprietor health care provider with primary practice located at 206 N Randolph St Suite 404, Champaign IL 61820-3949. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Soper, Pamela Kae can be contacted via phone (217) 351-5188.Contact Information
Primary practice address
206 N Randolph St Suite 404
Champaign IL 61820-3949
Phone: (217) 351-5188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1740322031 |
|---|---|
| LBN Legal business name | Soper, Pamela Kae |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1740322031 | NPPES |
| Illinois | Other | 01032067 | BLUE CROSS BLUE SHIELD |
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