Gambill, Jered Steven

Gambill, Jered Steven is an sole proprietor health care provider with primary practice located at 108 N 3Rd St , Mount Vernon IL 62864-3624. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Gambill, Jered Steven can be contacted via phone (618) 244-1302.

Contact Information

Primary practice address
108 N 3Rd St Mount Vernon IL 62864-3624
Phone: (618) 244-1302
Fax: (618) 244-1302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056.009226 Illinois

Profile Details

NPI number 1497044861
LBN Legal business name Gambill, Jered Steven
Credentials MSOTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2011
Last updated Apr 6th, 2011 - 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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