Allen, Jacquelyn Lavette

Allen, Jacquelyn Lavette is an sole proprietor health care provider with primary practice located at 17366 Wausau Ave , South Holland IL 60473-3359. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Allen, Jacquelyn Lavette can be contacted via phone (708) 705-2670.

Contact Information

Primary practice address
17366 Wausau Ave South Holland IL 60473-3359
Phone: (708) 705-2670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 056007568 Illinois

Profile Details

NPI number 1629300942
LBN Legal business name Allen, Jacquelyn Lavette
Credentials MOTR/L, CPAM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2010
Last updated Feb 11th, 2010 - about 15 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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