Jakkula, Charlotte Sunaina

Jakkula, Charlotte Sunaina is an individual health care provider with primary practice located at 1403 W Glen Ave , Peoria IL 61614-4705. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Jakkula, Charlotte Sunaina can be contacted via phone (888) 988-4066.

Contact Information

Primary practice address
1403 W Glen Ave Peoria IL 61614-4705
Phone: (888) 988-4066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019031374 Illinois

Profile Details

NPI number 1386161248
LBN Legal business name Jakkula, Charlotte Sunaina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2017
Last updated Aug 23rd, 2017 - 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