Diesetlhorst, Jamie

Diesetlhorst, Jamie is an sole proprietor health care provider with primary practice located at 14905 Windy Hill Road , Bunker Hill IL 62014-3003. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Diesetlhorst, Jamie can be contacted via phone (618) 585-4546.

Contact Information

Primary practice address
14905 Windy Hill Road Bunker Hill IL 62014-3003
Phone: (618) 585-4546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160.005560 Illinois

Profile Details

NPI number 1588957443
LBN Legal business name Diesetlhorst, Jamie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2011
Last updated May 25th, 2011 - about 14 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