Long, Jaime Rebekah
Long, Jaime Rebekah is an individual health care provider with primary practice located at 1001 S Fairview Ave , Park Ridge IL 60068-4712. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Long, Jaime Rebekah can be contacted via phone (847) 653-3649.Contact Information
Primary practice address
1001 S Fairview Ave
Park Ridge IL 60068-4712
Phone: (847) 653-3649
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 1122109 | Illinois |
Profile Details
| NPI number | 1487128112 |
|---|---|
| LBN Legal business name | Long, Jaime Rebekah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2019 |
| Last updated | Jan 16th, 2019 - about 6 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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