Welch, David

Welch, David is an individual health care provider with primary practice located at 390 E Congress Pkwy Suite J, Crystal Lake IL 60014-6202. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Welch, David can be contacted via phone (815) 356-5050.

Contact Information

Primary practice address
390 E Congress Pkwy Suite J Crystal Lake IL 60014-6202
Phone: (815) 356-5050
Fax: (815) 356-5094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1063582047
LBN Legal business name Welch, David
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 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 1063582047 NPPES
Illinois Other 320078 VALUE OPTIONS GRP NUMBER
Illinois Other 1633897 VALUE OPTIONS GRP NUMBER

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