Beausoleil, Jillian Marie

Beausoleil, Jillian Marie is an individual health care provider with primary practice located at 511 N Torch Blvd Rm 102B , Cannon Afb NM 88103-5109. She recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as her primary health care specialty. Beausoleil, Jillian Marie can be contacted via phone (575) 784-0287.

Contact Information

Primary practice address
511 N Torch Blvd Rm 102B Cannon Afb NM 88103-5109
Phone: (575) 784-0287
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1053554204
LBN Legal business name Beausoleil, Jillian Marie
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2009
Last updated Oct 6th, 2011 - about 13 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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