Dallmier, Jolly Michele

Dallmier, Jolly Michele is an individual health care provider with primary practice located at 900 W Temple Ave Suite 208, Effingham IL 62401-2121. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dallmier, Jolly Michele can be contacted via phone (217) 342-0211.

Contact Information

Primary practice address
900 W Temple Ave Suite 208 Effingham IL 62401-2121
Phone: (217) 342-0211
Fax: (217) 342-0232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209-000147 Illinois

Profile Details

NPI number 1629251145
LBN Legal business name Dallmier, Jolly Michele
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2007
Last updated Oct 11th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629251145 NPPES
Illinois Other 209-000147 LICENSE
Illinois Other P00465586 LICENSE

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