Woodrum, Helen R
Woodrum, Helen R is an individual health care provider with primary practice located at 403 E 1St St , Dixon IL 61021. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Woodrum, Helen R can be contacted via phone (815) 285-5638.Contact Information
Primary practice address
403 E 1St St
Dixon IL 61021
Phone: (815) 285-5638
Fax: (815) 285-5850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149015750 | Illinois |
Profile Details
| NPI number | 1881986636 |
|---|---|
| LBN Legal business name | Woodrum, Helen R |
| Credentials | MSW, QMHP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2011 |
| Last updated | Aug 29th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881986636 | NPPES |
| Illinois | Other | F400249467 | MEDICARE |
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