Lively, Jillian Marie
Lively, Jillian Marie is an sole proprietor health care provider with primary practice located at 26531 Aliso Creek Rd , Aliso Viejo CA 92656-2882. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Lively, Jillian Marie can be contacted via phone (949) 448-0082.Contact Information
Primary practice address
26531 Aliso Creek Rd
Aliso Viejo CA 92656-2882
Phone: (949) 448-0082
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 61103 | California |
Profile Details
| NPI number | 1992085526 |
|---|---|
| LBN Legal business name | Lively, Jillian Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2011 |
| Last updated | Aug 26th, 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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