Gwaltney, Rebbecca Ann
Gwaltney, Rebbecca Ann is an sole proprietor health care provider with primary practice located at 2352 State Highway 78 N , Jacksonville IL 62650-6227. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Gwaltney, Rebbecca Ann can be contacted via phone (217) 473-5913.Contact Information
Primary practice address
2352 State Highway 78 N
Jacksonville IL 62650-6227
Phone: (217) 473-5913
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | 057.002498 | Illinois |
Profile Details
| NPI number | 1235499120 |
|---|---|
| LBN Legal business name | Gwaltney, Rebbecca Ann |
| Credentials | COTA/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2012 |
| Last updated | May 24th, 2012 - about 14 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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