Daniels-Lausen, Jackie Lynn

Daniels-Lausen, Jackie Lynn is an sole proprietor health care provider with primary practice located at 2060 W Washington St , Springfield IL 62702-6630. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Daniels-Lausen, Jackie Lynn can be contacted via phone (217) 793-8266.

Contact Information

Primary practice address
2060 W Washington St Springfield IL 62702-6630
Phone: (217) 793-8266
Fax: (217) 793-8265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1679606966
LBN Legal business name Daniels-Lausen, Jackie Lynn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679606966 NPPES
Illinois Other 0008425812 BLUE CROSS BLUE SHIELD

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