Gieseking, Jon Richmond
Gieseking, Jon Richmond is an sole proprietor health care provider with primary practice located at 208 N 2Nd St , Altamont IL 62411-1402. He recently has only one registered license in Transportation Services / Ambulance, which is considered as his primary health care specialty. Gieseking, Jon Richmond can be contacted via phone (618) 483-6821.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Ambulance | 341600000X | 510601 | Illinois |
Profile Details
| NPI number | 1114196375 |
|---|---|
| LBN Legal business name | Gieseking, Jon Richmond |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2008 |
| Last updated | Sep 14th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114196375 | NPPES |
| Illinois | MEDICAID | 371199058002 |
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