Edwards, Jennifer Lynn

Edwards, Jennifer Lynn is an individual health care provider with primary practice located at 120 Ne Glen Oak Ave Ste 407 , Peoria IL 61603-4301. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Edwards, Jennifer Lynn can be contacted via phone (309) 672-5975.

Contact Information

Primary practice address
120 Ne Glen Oak Ave Ste 407 Peoria IL 61603-4301
Phone: (309) 672-5975
Fax: (309) 655-1678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 238000175 Illinois

Profile Details

NPI number 1215116124
LBN Legal business name Edwards, Jennifer Lynn
Credentials CFA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2007
Last updated Oct 26th, 2007 - about 17 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 1215116124 NPPES
Illinois Other 106370 SURGICAL TECHNICIANS

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