Lafountain, Jessica Rebecca

Lafountain, Jessica Rebecca is an individual health care provider with primary practice located at 105 N 36Th St , Quincy IL 62301-3704. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Lafountain, Jessica Rebecca can be contacted via phone (217) 221-8550.

Contact Information

Primary practice address
105 N 36Th St Quincy IL 62301-3704
Phone: (217) 221-8550
Fax: (217) 292-6564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 3492 Illinois

Profile Details

NPI number 1700516226
LBN Legal business name Lafountain, Jessica Rebecca
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2022
Last updated Jul 6th, 2022 - about 3 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 1700516226 NPPES
Illinois Other 3492 IL HIS LICENSE

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