Caro, Ida Riva Jamandron

Caro, Ida Riva Jamandron is an sole proprietor health care provider with primary practice located at 201 S 14Th St , Herrin IL 62948-3631. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Caro, Ida Riva Jamandron can be contacted via phone (618) 942-2171.

Contact Information

Primary practice address
201 S 14Th St Herrin IL 62948-3631
Phone: (618) 942-2171
Fax: (618) 351-4926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070016280 Illinois

Profile Details

NPI number 1104092956
LBN Legal business name Caro, Ida Riva Jamandron
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2008
Last updated May 1st, 2008 - 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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