Wesley, Erin

Wesley, Erin is an individual health care provider with primary practice located at 2615 Edwards St , Alton IL 62002-3915. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wesley, Erin can be contacted via phone (618) 462-2331.

Contact Information

Primary practice address
2615 Edwards St Alton IL 62002-3915
Phone: (618) 462-2331
Fax: (618) 462-2504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180008066 Illinois

Profile Details

NPI number 1811268147
LBN Legal business name Wesley, Erin
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2012
Last updated Jan 18th, 2012 - about 12 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 1811268147 NPPES
Illinois MEDICAID 370798015014

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