Thomas Bua, Anita Ann

Thomas Bua, Anita Ann is an individual health care provider with primary practice located at 1200 W State St , Rockford IL 61102-2112. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Thomas Bua, Anita Ann can be contacted via phone (815) 490-1600.

Contact Information

Primary practice address
1200 W State St Rockford IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3755-125 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 178004743 Illinois

Profile Details

NPI number 1457499022
LBN Legal business name Thomas Bua, Anita Ann
Credentials LCPC,LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2007
Last updated Aug 26th, 2023 - 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.

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