Werneke, Carolyn I

Werneke, Carolyn I is an sole proprietor health care provider with primary practice located at 409 Illinois Ave Suite 1-A, St Charles IL 60174-2966. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / School is her primary health care specialty. Werneke, Carolyn I can be contacted via phone (630) 421-7260.

Contact Information

Primary practice address
409 Illinois Ave Suite 1-A St Charles IL 60174-2966
Phone: (630) 421-7260
Fax: (630) 513-0919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1395103 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1952317588
LBN Legal business name Werneke, Carolyn I
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952317588 NPPES
Illinois Other 04523149 BLUE CROSS BLUE SHIELD

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