Gregg, Jessica M
Gregg, Jessica M is an sole proprietor health care provider with primary practice located at 5758 Elaine Dr Ste 101C , Rockford IL 61108-3102. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gregg, Jessica M can be contacted via phone (815) 975-1177.Contact Information
Primary practice address
5758 Elaine Dr Ste 101C
Rockford IL 61108-3102
Phone: (815) 975-1177
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | BP00944213 | West Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149019119 | Illinois |
Profile Details
| NPI number | 1013257823 |
|---|---|
| LBN Legal business name | Gregg, Jessica M |
| Credentials | MSW LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2013 |
| Last updated | Apr 18th, 2024 - about 2 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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