Walker, Shaylon
Walker, Shaylon is an sole proprietor health care provider with primary practice located at 38W601 Clubhouse Dr , St Charles IL 60175-6178. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Walker, Shaylon can be contacted via phone (847) 414-4090.Contact Information
Primary practice address
38W601 Clubhouse Dr
St Charles IL 60175-6178
Phone: (847) 414-4090
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 739775 | Illinois |
Profile Details
NPI number | 1649916800 |
---|---|
LBN Legal business name | Walker, Shaylon |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 10th, 2022 |
Last updated | May 10th, 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 | 1649916800 | NPPES |
Illinois | MEDICAID | 739775 | |
Illinois | Other | 739775 |
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