Houle, Jean Benoit

Houle, Jean Benoit is an individual health care provider with primary practice located at 4121 Veterans Memorial Dr , Mount Vernon IL 62864-6262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Houle, Jean Benoit can be contacted via phone (618) 242-3778.

Contact Information

Primary practice address
4121 Veterans Memorial Dr Mount Vernon IL 62864-6262
Phone: (618) 242-3778
Fax: (618) 242-2551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036097382 Illinois

Profile Details

NPI number 1639146103
LBN Legal business name Houle, Jean Benoit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Dec 23rd, 2009 - about 15 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 1639146103 NPPES
Illinois MEDICAID 036097382

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