Bagus, Jennifer Lynn

Bagus, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 660 Indigo Ln , Woodstock IL 60098-3608. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Bagus, Jennifer Lynn can be contacted via phone (815) 404-3505.

Contact Information

Primary practice address
660 Indigo Ln Woodstock IL 60098-3608
Phone: (815) 404-3505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X B22043283696 Illinois

Profile Details

NPI number 1912179359
LBN Legal business name Bagus, Jennifer Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2008
Last updated Mar 26th, 2008 - about 16 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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