Wilcox, Carrie Beth

Wilcox, Carrie Beth is an individual health care provider with primary practice located at 701 N 1St St , Springfield IL 62781-0002. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wilcox, Carrie Beth can be contacted via phone (217) 788-3000.

Contact Information

Primary practice address
701 N 1St St Springfield IL 62781-0002
Phone: (217) 788-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 180002793 Illinois

Profile Details

NPI number 1861687055
LBN Legal business name Wilcox, Carrie Beth
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated Sep 11th, 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 1861687055 NPPES
Illinois Other 180002793 STATE LICENSE NUMBER

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