Vaughn, Pat
Vaughn, Pat is an sole proprietor health care provider with primary practice located at 4875 Manhattan Dr , Rockford IL 61108-2265. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Vaughn, Pat can be contacted via phone (815) 227-4673.Contact Information
Primary practice address
4875 Manhattan Dr
Rockford IL 61108-2265
Phone: (815) 227-4673
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Illinois |
Profile Details
| NPI number | 1134258734 |
|---|---|
| LBN Legal business name | Vaughn, Pat |
| Credentials | MS.ED., LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1134258734 | NPPES |
| Illinois | Other | 209286 | VALUE OPTIONS |
| Illinois | Other | 10121306 | VALUE OPTIONS |
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