Weller, Jody A
Weller, Jody A is an sole proprietor health care provider with primary practice located at 360 W Schick Rd Ste 17 , Bloomingdale IL 60108-2965. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Weller, Jody A can be contacted via phone (708) 805-6565.Contact Information
Primary practice address
360 W Schick Rd Ste 17
Bloomingdale IL 60108-2965
Phone: (708) 805-6565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019020585 | Illinois |
Profile Details
| NPI number | 1427219328 |
|---|---|
| LBN Legal business name | Weller, Jody A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2008 |
| Last updated | Jan 3rd, 2023 - about 2 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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