Purdy, Jamie M
Purdy, Jamie M is an individual health care provider with primary practice located at 301 N 8Th St # 5B , Springfield IL 62701-1041. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Purdy, Jamie M can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
301 N 8Th St # 5B
Springfield IL 62701-1041
Phone: (217) 545-8000
Fax: (217) 545-0253
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 147001318 | Illinois |
Profile Details
NPI number | 1790915700 |
---|---|
LBN Legal business name | Purdy, Jamie M |
Credentials | CCC-A |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 24th, 2009 |
Last updated | Dec 9th, 2020 - about 4 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 | 1790915700 | NPPES |
Illinois | Other | 147-001318 | STATE LICENSE |
Illinois | Other | 12124484 | STATE LICENSE |
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