Schmooke, Jena C

Schmooke, Jena C is an individual health care provider with primary practice located at 4600 3Rd St , Moline IL 61265-6106. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Schmooke, Jena C can be contacted via phone (309) 779-3929.

Contact Information

Primary practice address
4600 3Rd St Moline IL 61265-6106
Phone: (309) 779-3929
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 41350084 Illinois

Profile Details

NPI number 1942765649
LBN Legal business name Schmooke, Jena C
Credentials BSN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2019
Last updated Feb 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942765649 NPPES
Other 041350084 MEDICARE UPIN, MEDICARE PIN, MEDICARE OSCAR/CERTIFICATION, MEDICARE NSC, MEDICAI

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