Staskiewicz, Jennifer Lynn

Staskiewicz, Jennifer Lynn is an individual health care provider with primary practice located at 1 Copperfield Ln , Charleston IL 61920-3600. 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. Staskiewicz, Jennifer Lynn can be contacted via phone (217) 246-6429.

Contact Information

Primary practice address
1 Copperfield Ln Charleston IL 61920-3600
Phone: (217) 246-6429
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1487774212
LBN Legal business name Staskiewicz, Jennifer Lynn
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 18 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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