Dettore, Laurel Ann
Dettore, Laurel Ann is an sole proprietor health care provider with primary practice located at 6827 Stanley Ave , Berwyn IL 60402-3287. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Dettore, Laurel Ann can be contacted via phone (708) 795-1520.Contact Information
Primary practice address
6827 Stanley Ave
Berwyn IL 60402-3287
Phone: (708) 795-1520
Fax: (708) 795-1543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | 214132 | Illinois |
Profile Details
| NPI number | 1689929879 |
|---|---|
| LBN Legal business name | Dettore, Laurel Ann |
| Credentials | DNSC, MS, RN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2012 |
| Last updated | Jul 13th, 2012 - 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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