Long, Dawn Nicole
Long, Dawn Nicole is an sole proprietor health care provider with primary practice located at 11723 Wolf Creek Ln , Plainfield IL 60585-2504. She recently has only one registered license in Transportation Services / Private Vehicle, which is considered as her primary health care specialty. Long, Dawn Nicole can be contacted via phone (815) 557-7777.Contact Information
Primary practice address
11723 Wolf Creek Ln
Plainfield IL 60585-2504
Phone: (815) 557-7777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Private Vehicle | 347C00000X | L520-1748-2799 | Illinois |
Profile Details
| NPI number | 1053859926 |
|---|---|
| LBN Legal business name | Long, Dawn Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2017 |
| Last updated | Feb 10th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053859926 | NPPES |
| Illinois | Other | 3000005 | EI MCO |
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