Strazar, Jean Ellen
Strazar, Jean Ellen is an individual health care provider with primary practice located at 50 Northgate Industrial Dr , Granite City IL 62040. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Strazar, Jean Ellen can be contacted via phone (618) 877-4420.Contact Information
Primary practice address
50 Northgate Industrial Dr
Granite City IL 62040
Phone: (618) 877-4420
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 309.003146 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209-005871 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 309.003146 | Illinois |
Profile Details
NPI number | 1588705651 |
---|---|
LBN Legal business name | Strazar, Jean Ellen |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2007 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1588705651 | NPPES |
Illinois | Other | 209.005871 | STATE LICENSURE |
Illinois | Other | 309.003146 | STATE LICENSURE |
Illinois | Other | 041.214555 | STATE LICENSURE |
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