Smith, Jacqueline J

Smith, Jacqueline J is an individual health care provider with primary practice located at 3082 Caton Farm Rd , Joliet IL 60435-1455. 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. Smith, Jacqueline J can be contacted via phone (815) 577-9936.

Contact Information

Primary practice address
3082 Caton Farm Rd Joliet IL 60435-1455
Phone: (815) 577-9936
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 96001776 Illinois

Profile Details

NPI number 1275508996
LBN Legal business name Smith, Jacqueline J
Credentials MS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Feb 21st, 2008 - about 17 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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