Revere, Jill
Revere, Jill is an sole proprietor health care provider with primary practice located at 1477 E 83Rd Ave , Merrillville IN 46410-6307. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Revere, Jill can be contacted via phone (219) 472-0628.Contact Information
Primary practice address
1477 E 83Rd Ave
Merrillville IN 46410-6307
Phone: (219) 472-0628
Fax: (219) 750-9287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1013236645 |
|---|---|
| LBN Legal business name | Revere, Jill |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2010 |
| Last updated | Jun 25th, 2021 - about 3 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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