Carruth, Jacqueline
Carruth, Jacqueline is an individual health care provider with primary practice located at 778 W Frontage Rd Ste 104 , Northfield IL 60093-1209. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Carruth, Jacqueline can be contacted via phone (815) 685-1896.Contact Information
Primary practice address
778 W Frontage Rd Ste 104
Northfield IL 60093-1209
Phone: (815) 685-1896
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | 150.107072 | Illinois |
Profile Details
| NPI number | 1093463051 |
|---|---|
| LBN Legal business name | Carruth, Jacqueline |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2022 |
| Last updated | Mar 17th, 2022 - about 2 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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