Windom, Claudia

Windom, Claudia is an individual health care provider with primary practice located at 88 S Main St , Glen Carbon IL 62034-1415. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Windom, Claudia can be contacted via phone (618) 288-8085.

Contact Information

Primary practice address
88 S Main St Glen Carbon IL 62034-1415
Phone: (618) 288-8085
Fax: (618) 288-8959
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1811672041
LBN Legal business name Windom, Claudia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2023
Last updated Jun 15th, 2023 - about last year

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 1811672041 NPPES
Illinois MEDICAID 4A00-IPI-032

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