Garrison, Jamie

Garrison, Jamie is an individual health care provider with primary practice located at 507 E Armstrong Ave , Peoria IL 61603-3201. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Garrison, Jamie can be contacted via phone (309) 686-1177.

Contact Information

Primary practice address
507 E Armstrong Ave Peoria IL 61603-3201
Phone: (309) 686-1177
Fax: (309) 686-7722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 242001673 Illinois

Profile Details

NPI number 1487932976
LBN Legal business name Garrison, Jamie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2011
Last updated Aug 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487932976 NPPES
Illinois MEDICAID 370686250001

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