Timmermann, Joan

Timmermann, Joan is an individual health care provider with primary practice located at 4600 3Rd St , Moline IL 61265-6106. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Timmermann, Joan can be contacted via phone (309) 779-2031.

Contact Information

Primary practice address
4600 3Rd St Moline IL 61265-6106
Phone: (309) 779-2031
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1023001872
LBN Legal business name Timmermann, Joan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023001872 NPPES
Illinois Other 2216715 FIRST HEALTH AND CCN
Illinois MEDICAID 0580985 FIRST HEALTH AND CCN
Illinois MEDICAID 1580985 FIRST HEALTH AND CCN
Illinois Other 99113 FIRST HEALTH AND CCN
Illinois Other 4773D6 FIRST HEALTH AND CCN

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