Jaconette, Richard L

Jaconette, Richard L is an sole proprietor health care provider with primary practice located at 526 W State Street , Rockford IL 61101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jaconette, Richard L can be contacted via phone (815) 968-9300.

Contact Information

Primary practice address
526 W State Street Rockford IL 61101
Phone: (815) 968-9300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-102168 Illinois

Profile Details

NPI number 1578785432
LBN Legal business name Jaconette, Richard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2007
Last updated Apr 11th, 2016 - about 9 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.

Request for update

Popular Providers