Beausoleil, Jillian Marie
Beausoleil, Jillian Marie is an individual health care provider with primary practice located at 511 N Torch Blvd Rm 102B , Cannon Afb NM 88103-5109. She recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as her primary health care specialty. Beausoleil, Jillian Marie can be contacted via phone (575) 784-0287.Contact Information
Primary practice address
511 N Torch Blvd Rm 102B
Cannon Afb NM 88103-5109
Phone: (575) 784-0287
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Medical Technicians | 1710I1003X |
Profile Details
| NPI number | 1053554204 |
|---|---|
| LBN Legal business name | Beausoleil, Jillian Marie |
| Credentials | IDMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2009 |
| Last updated | Oct 6th, 2011 - about 15 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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