Suedmeyer, Keith Allen
Suedmeyer, Keith Allen is an sole proprietor health care provider with primary practice located at 8 Cusumano Professional Plaza Dr , Mount Vernon IL 62864-6736. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Suedmeyer, Keith Allen can be contacted via phone (618) 242-7819.Contact Information
Primary practice address
8 Cusumano Professional Plaza Dr
Mount Vernon IL 62864-6736
Phone: (618) 242-7819
Fax: (618) 242-9230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149-014086 | Illinois |
Profile Details
| NPI number | 1346550910 |
|---|---|
| LBN Legal business name | Suedmeyer, Keith Allen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2010 |
| Last updated | Oct 18th, 2010 - about 15 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.
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