Gatewood, Jennan M

Gatewood, Jennan M is an sole proprietor health care provider with primary practice located at 5831 Geiger Rd , Alhambra IL 62001-2227. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Gatewood, Jennan M can be contacted via phone (618) 978-4427.

Contact Information

Primary practice address
5831 Geiger Rd Alhambra IL 62001-2227
Phone: (618) 978-4427
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1285085118
LBN Legal business name Gatewood, Jennan M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2016
Last updated Jun 15th, 2023 - about 2 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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