Jacquin, Denise Marie

Jacquin, Denise Marie is an individual health care provider with primary practice located at 650 Wesley Drive Wood River Centre, Wood River IL 62095. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jacquin, Denise Marie can be contacted via phone (618) 258-1002.

Contact Information

Primary practice address
650 Wesley Drive Wood River Centre Wood River IL 62095
Phone: (618) 258-1002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Illinois

Profile Details

NPI number 1124240569
LBN Legal business name Jacquin, Denise Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 8th, 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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