Carlson, Jessica L

Carlson, Jessica L is an individual health care provider with primary practice located at 112 W 9Th St , Coal Valley IL 61240-9120. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Carlson, Jessica L can be contacted via phone (309) 644-2870.

Contact Information

Primary practice address
112 W 9Th St Coal Valley IL 61240-9120
Phone: (309) 644-2870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X Iowa

Profile Details

NPI number 1205422011
LBN Legal business name Carlson, Jessica L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2020
Last updated Dec 15th, 2020 - about 5 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.

Request for update

Popular Providers