Brockhouse, Jaiden
Brockhouse, Jaiden is an individual health care provider with primary practice located at 4627 N University St , Peoria IL 61614-5828. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Brockhouse, Jaiden can be contacted via phone (309) 685-2385.Contact Information
Primary practice address
4627 N University St
Peoria IL 61614-5828
Phone: (309) 685-2385
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 3554 | Illinois |
Profile Details
| NPI number | 1487423877 |
|---|---|
| LBN Legal business name | Brockhouse, Jaiden |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2023 |
| Last updated | Dec 27th, 2023 - about 3 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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