Studley, Robert Vinson
Studley, Robert Vinson is an sole proprietor health care provider with primary practice located at 1669 Windham Way , O Fallon IL 62269-3072. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Studley, Robert Vinson can be contacted via phone (618) 622-2579.Contact Information
Primary practice address
1669 Windham Way
O Fallon IL 62269-3072
Phone: (618) 622-2579
Fax: (618) 624-8506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1598010480 |
|---|---|
| LBN Legal business name | Studley, Robert Vinson |
| Credentials | MA, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Mar 28th, 2022 - about 2 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 | 1598010480 | NPPES |
| Illinois | MEDICAID | 237254917005 |
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