Phelps, Jamie E

Phelps, Jamie E is an sole proprietor health care provider with primary practice located at 823 28Th St , Rockford IL 61108-3651. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Phelps, Jamie E can be contacted via phone (815) 994-6143.

Contact Information

Primary practice address
823 28Th St Rockford IL 61108-3651
Phone: (815) 994-6143
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 3159-39 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096002366 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1346371739
LBN Legal business name Phelps, Jamie E
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Sep 29th, 2023 - about 2 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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